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HomeMy WebLinkAbout0041784-HVAC (a/c & furnace) �'Y��- CITY OF OSHKOSH N� ��1784 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � ��% � ` /// �/� PLAN NO. OWNER ��/i�S � !�`(,S�l DESIGNER USE/NATURE OF WORK ' � C !i�"L�l ,CCG � i�C1%'rLt' � BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit i ' / ,�[� HFATW(� CnNTRACT(�R C, l�Yl G/�,S f_'!i/ S L�--"`'7 � C- Heat� A/C � Vent ❑ Fuel/System ���� Heat Loss����,�r BTU'S � � 9L `j- j�" 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 $ ° �� Permit Fee Paid $�5�` ��v Park Dedication $ ISSUED BY � Date ��7/4L— Final/O.P. In the performance of this work I a rform all work pursuant to rules governing the described construction. SIGNATURE ��\ .���7�,y AGENT/OWNER DATE ADDRESS � \ � � ��� �" `-' � TELEPHONE M APPL DATE��7/�,�_�� pERMIT 110. ��� D � ADORESS ���� C(� `?� ��� OWNER f.-Gvi�S �/S�l NATURE OF WORK ���![Ge ��iYfs a�� 9L i���L C- HEATI NG CONTRACTOR �1 f�r'�5 /n�/���!� FUEL: � � OIL � SOLAR SOLID CONDLTIONING �ORCED AIR H.W. ELEC. BASE. S'TEAM SYSTEM RADIANT SUPPL. CHIl1NEY: "A" "B" REC'T VENT CON.BURNER CALCULATED HEAT [.OSS ��i�� SYSTEM BTU RATING �O�-p MISC. � G INSP. ROUGH IN FINAL �� 9 EST. COST Lf,�7� � PERHIT FEES 'S�• �'"b DATE PD 9 REMARKS