HomeMy WebLinkAbout0012331-HVAC (make up air) ® , CITY OF OSHKOSH
N2 12331
PERMIT - APPLICATION AND RECORD
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TYPE: BLDG ❑ HTG `f' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS to € N l/ . PLAN NO.
OWNER C � 1
ie `,"o Co/+ Inc-,
DESIGNER
USE /NATURE OF WORK /7 V 4 / L a A -P (gy , /'" C c'O!'h h'1
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BUILDING CONTRACTOR
Size M '' Sq. Ft. # Rooms # Stories Height
Foundation " ''r' Class of Const. Occupancy Permit
HEATING CONTRACTOR aa frt niak7 l r71
Cf., Heat IF A/C ❑ Vent ❑ Fuel /System A1 Heat Loss 4,.. d p BTU'S ,J £4'Z
ELECTRIC CONTRACTOR
Electric Serv. New ! ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
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PLUMBING CONTRACTOR
BT i WH Disp WSoft CBasin
Lav r Sh DW DF San. Sewer
WC " FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other , '`
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FEES: Valuation $ /4 5 4 '. !/`C7 Permit Fee Paid $ /•5. V Park Dedication
ISSUED BY .0 Date , {�/17 Final /O.P. 4 /` )7/)7
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE o /
I( -'; AGENT /OWNER DME
ADDRESS 1
TELEPHONE #
1
PERMIT NO. 3, 1 APPL. !Alb. 2, / /D /ey
ADDRESS . f /o6 / ../ase
OWNER C ' i tila Cori^ /Zl
NATURE OF WORK /Yak e U, 41r
HEATING CONTRACTOR ,r g-
FUEL: OIL ELEC SOLAR SOLID
CONDITIONINGORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: "A" "B "IRECT VENT CON. BURNER
CALCULATED HEAT LOSS hp, SYSTEM BTU RATING , �j - ,!/Y/ '
MISC. P
INSP . ROUGH IN FINAL / / /� /��
EST. COST 51; PE RMIT FEES /pi', r/O DAE PD j p/
REMARKS