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HomeMy WebLinkAbout0007224-HVAC (boiler)� � _ CITY OF OSHKOSH N� 07224 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� / Vl�, /I/Lo t/ClLIGi S/ � PLAN NO. OWNER ��l J �� V I'l �I'� DESIGNER USE/NATURE OF W RK ��.� ✓4 �1aS �DV �s�S/�4h rr� �" ( ��G/ �el� / � r / �` J Cr m � _r s �: ��� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. ` Occupancy Permit HEATING CONTRACTOR�7��/.�i��/�T'� � � Heat (� A/C ❑ Vent ❑ Fuel/System �� Heat Loss 'J ` �� BTU'S 9.�G��' 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 $ c�- �� Permit Fee Paid $ �� �� Park Dedication $ ISSUED BY �y��- Date � Final/O.P. �S'� - fi'� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE���c� �o�+�f�o��/ �" AGENT/OWNER DATE ADDRESS �S3S - Ll/ �.�'N7—�v� .2.3,f' - �3 �7 TELEPHONE# ##- PERMIT N0. (�'� �-� �� APPL. DATE ��'� �'� �D�SS��y w �����/�� aG1NER /!� i l� NATURE OF WORK �Q.Y►L'�.,`�%�l�[21%v/'/7�'�^ ��i,L � �'�%S � HEATING CONTRACTOR l`1 �D 5- �� ��i i2 c; FUEL: GAS `' OIL ELEC SOLAR SOLID CONDITIONING FORCED AIR �W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND. CHII�fl�1EY: A ' B' DIRECT VENT CON. BURNER CALCULATED HEAT LOSS� ,'� 'i�� SYSTEM BTU RATING �y1��� MISC. INSP. ROUGH IN FINAL � EST. COST ���_p�� PE.RMIT FEES�� / DATE PD !t ° -� REMARKS