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HomeMy WebLinkAbout0009748-HVAC (a/c) /� CITY OF OSHKOSH No 09748 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG '� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �7�T /�,// PLAN NO. / , OWNER Cz°-�'i� ! �/ �� %" DESIGNER -� USE/NATURE OF WORK � �� ��- � C � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR — T �'' � Heat ❑ A/C � Vent ❑ Fuel/System Heat Loss 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 $ ��� �� Permit Fee Paid $ ��' �' Park Dedication $ ISSUED BY �(�t�i Date � Final/O.P. �' �y" cY� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. --� .-� SIGNATURE ��� 0 � 'J � �- AGENT/OWNER / DATE ADDRESS TELEPHONE# PERMIT N0. ��7<�� APPL. DATE z�/�/ 8'J� ADDRESS !.{� � (�(1� �� OWNE R / � C�c�`J �%��°/'' NATURE OF WORK ���0 �/� HEATING CONTRACTOR ���a - ��z /� E `' FUEL: GAS OIL � E� SOLAR SOLID CONDITIONING FORCED ATR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY �IR COND, CHIIyIIdEY: "A" "B" DIRECT VENT CON. BURNER CALCllLATED HEAT LOSS ���c�-- SYSTEM BTU RATING__LL7e1� <� MISC. INSP. ROUGH IN FINAL / EST. COST���d=�U PERMIT FEES /�, � DATE PD �p_�' REMARKS