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HomeMy WebLinkAbout0046720-HVAC (add a/c) ��/ � CITY OF OSHKOSH N°_ 46720 `' PERMIT -- APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �/ � /� ��4 d�/ PLAN NO. OWNER �''i ��� �ar6r� ��'! �1� DESIGNER USE/NATURE OF WORK J�Q� �/G" ► BUILDI�VG CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � � Heat ❑ A/C � Vent ❑ Fuel/System Heat Loss ���i�� 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 $ 9' �� Park Dedication $ � ISSUED BY Date 6 � 9 Final/O.P. In the performanc of this work I agree to perform aIl work pursuant to rules governing the described construction. T' SIGNATURE � � AGENT/O ATE ADDRESS TELEPHONE N � � p� / �/ � � APPL DATE `�,���/ �,1� PERMIT it0. �7� �� � F , � � ADDRESS I� J•C-' , /��t/!l�f� F OWNE R , �1/1 D G!� lJ.���!�/�L'� `l� � G € � NATURE OF WORK /�, , °�� jTI� �' � HEATING CONTRACTOR �j"Ess l rP-S/ �J�1 � � FUEL: GAS OIL EC SOLAR SOLID � � � CONDLTIONING FORCED AIR H.i�. ELEC. BASE. STEAM � , SYSTEM RADIANT SUPPL. � � � � CHIMNEY: "A" "B" DIRECT VENT CON.BURN R � CALCULATED HEAT LOSS ���� SYSTEM BTU RATINC �j � MISC. �. � INSP. ROUGfI IN FINAL I/ G � EST. COST /�(t�„Ll� PERMIT FEES C 9c CJ'�J DATE PD / � � REMARKS � � ._ _.__�� _____ �______��_.—�