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HomeMy WebLinkAbout0045661-HVAC (a/c) � �� CITY F SHKOSH N°- 45661 � O O PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - ADDRESS l��f�T�G J�S� CT�� PLAN NO. OWNER `,Z U `�v! �.�i!i 9 z_°�' DESIGNER USE/NATURE OF WORK �� BUILDING CONTRACTOR Size� Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit r HEATING CONTRACTOR Cv`i�0`r � � �K� /1�,9 f (Oj � Heat Loss ��Z°��,� BTU'S � � Heat ❑ A/C � Vent ❑ Fuel/System 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 $ �7 ° °� Park Dedication $ ISSUED BY Date����'��.5� Final/O.P. ��a� �1� In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE � �� ' � 9 � A NER ATE ADDRESS TELEPHONE N �� y � APPL DATE � � _ PERMIT it0. �✓v�/ ADDRESS � C !'J!�! � 5 '�� OWNER i �Gi f q h �C{�/ 9 t°{" NATURE OF,WORK ��G � HEATING CONTRACTOR �"D�h�ph T�'Y�t'_� L�O<>tt7�i•,�` �iit FUEL: GAS OIL Q�:I� SOLAR SOLID CONDLTIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. CHIMNEY: "A" "B" DIRECT VENT CON.BURNER � CALCULATED HEAT LOSS ��o/5- l" SYSTEM BTU RATING � �sj �C : � MISC. INSP. ROUC}i IN FINAL / � EST. COST ���d� ��U PERMIT FEES�. DATE PDG 4�' � REMARKS � �