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HomeMy WebLinkAbout0006103-HVAC (a/c) � CITY OF OSHKOSH N° 06103 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG �Q ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS��.� Lf/ � S'�`" PLAN NO. . OWNER � � �J ` � DESIGNER USE/NATURE OF WORK � 67`'/� �j' f— �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR (1�A'N�/�io�i_�� � Heat ❑ A/C � Vent ❑ FueUSystem �����—Heat Loss ��(/"S� BTU'S � �h 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 $ l��• � Permit Fee Paid $ ��� G`� Park Dedication $ f �7 , ISSUED BY Date �/T/���/ Final/O.P. �°2 �°?�' c� 7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR , �U f /�`� ��� � AGENT/OW DATE � r ADDRESS J` � l/ �^`• / �%I✓� � vZc��S.S�J�G TELEPHONE# PERMIT N0. ����C� � APPL. DATE LD��/� � ADDRESS • owcaE R e � ' � r NATURE OF WORK�� /�-�� HEATING CONTRACTOR �=G/��j�y/.ljh ��`y, �/5�-% T FUEL: GAS OIL ELE SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEI�NTARY R COND, CHIt�IEY: A B DIRECT VENT CON. BURNER � CALCULATED HEAT LOSS ���i��` SYSTEM BTU RATING�� MIS(3. INSP. ROUGH IN FINAL ` �51'. COS'f6� ��I't �EES�bA Pb � i REMARKS �