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HomeMy WebLinkAbout1989-HVAC (boiler) � CITY OF OSHKOSH N°_ 16426 `' QERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG �7 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� �c''� PLAN NO. OWNER � �Z° /"� DESIGNER USE/NATURE OF WORK - ��a� ' /�0.`1�� , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR c� CL — - z-°r � Heat� A/C ❑ Vent ❑ Fuel/System �y Heat Loss �1C ��� BTU'S �` ELECTRIC CONTRACTOR �� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT —WH —Disp WSoft CBasin —Lav —Sh DW —DF —San. Sewer —WC FDr —SP —Ur Storm Sewer —Sink LTub Eject —SS —Water Other % FEES: Valuation $ v_(J o-�` ��Permit Fee Paid $ � �p Park Dedication $ ISSUED BY -� Date FinaVO.P. In the performance of this work I agree to perform all w t to rules governing the described construction. SIGNATURE /� � � AGENT/OWNER ATE ADDRESS TELEPHONE# APPL. DATE_��7���_ PERMIT NO. 1G �7�� ADDRESS �.�/� . o�'�.i/I1�c�� O�dNER NATURE OF WORK � � � - HEATING CO CTOR _ � �� � ��f�7`� ��'+ FUEL: C�,'" OIL_ ELEC. SOLAR SOLID C�NDITIONING FORCED AIR .W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHII�JEY: �� ��8,� DIRECT VENT CON.BURNER CALCULATED HEAT LOSS � 1c'�`S 7— SYSTEM BTU RATING � �J-p MISC. INSP. ROUGH IN FINAL � p EST. COST . C' PERMIT FEES �i ��j� DATE PD RE:tARKS