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HomeMy WebLinkAbout0005240-HVAC (a/c) n CITY OF OSHKOSH N°_ 05240 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS ��I � 1�—� 11L/�`� U�' PLAN NO. OWNER lJ�l, � �/�(�i�_4,�l� : DESIGNER USE/NATURE OF WORK /��>J�/�i S�_� �S' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR /%�'�a - � � �� 7'`i �� Heat ❑ A/C � Vent ❑ Fuel/System Heat Loss �X/75,� 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 $ �• l� Park Dedication $ � ISSUED BY � - Date � Final/O.P. �� ° � 4� �7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ., SIGNATURE � ' AGENT/OWNER DATE - ADDRESS e TELEPHONE# � ��;�1'1' NU. � �Tf'�� HYYL. llAlL' O /7 / /iS Z_ 'T 1'�_ ADDRESS ��/ ` �j��� OWNER ,�Q/� �/�'���.l�-�'� NATURE OF WORK �� 77`��G HEATING CONTRACTOR ��e1C� - �l�/�/J L°J � FUEL: GAS OIL EL _C SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEI�NTARY C�IR COND. CHIPIlJEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS r fC�`,S� SYSTEM BTU RATING���� MISC. INSP. ROUGH IN FINAL � EST. COST�Q��,�pPERMIT FEES DATE PD REMARKS