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HomeMy WebLinkAbout0009699-HVAC (a/c) /� CITY OF OSHKOSH No 09699 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS��� � e � C K �4l�7 PLAN NO. OWNER �s'/'�- � ��z��l„ � DESIGNER USE/NATURE OF WORK_�C�' /�Y/�i �, '�' �L'� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �--� -- T y Heat ❑ A/C � Vent ❑ FueUSystem � Heat Loss��C� �S� BTU'S Td �'7 Ir� ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUI'b161NG 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 $�,/� �-�X� Permit Fee Paid $ �,� �Lh� Park Dedication $ ISSUED BY �(� � Date Final/O.P. k ��� "�� In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. ,' �� SIGNATURE �� - AGENT/OWNER TE ADDRESS TELEPHONE N PERMIT N0._� APPL. DATE ��/�� _ ADDRESS ��p �� f�'��� 50<7 o�ER �1" �G-T ��!�� NATURE OF WORK �� �-/G —� HEATII3G CONTRACTOR �Z°�`q —��"�'',-�Gr FUEL� GAS OIL � SOLAR SOLID CONDITIONING FORCED AIR N.W. �LEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY �iIR COND, / CHII�MEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS ����s�`SYSTEM BTU RATIN6 �¢� MISG. INSP. ROyUGH IN FINAL . EST. COST G'�'ERMIT FCES D TE PD � REMARKS