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HomeMy WebLinkAbout0043682-HVAC `� �/o k � CITY OF OSHKOSH N° 43682 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���� �` / ���j� �� � PLAN NO. OWNER /� �` � �G�//��L� DESIGNER USE/NATURE OF WORK_����` '��t/ �G ��"� BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR f/ � s • � Heat � A/C ❑ Vent � FueVSystem ,�-6 Heat Loss BTU'S������'��'-� (.�—� . —'e° , _/,3 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 $ � �` �� � Park Dedication $ ISSUED BY �� Date���f 9.�� Final/O.P. In the performance of this work I agree to perform ali work pursuant to rules governing the described construction. SIGNATURE ��S a • � -- '" ` �/���✓�� � AGENT/OWNER DATE : ADDRESS TELEPHONE M APPL DATE �� 3� � PERMIT fl0. ���/ � ADDRESS l��� /Y - �,fC��� _ � _ OWNE R� �Q/'I DO G�//i �l2� NATtI4E OF WORK �'.J/. � �(�/ G�O ' HEATIN�:, CONTRACTOR �.�[ T �7` � J� FUELs GA ' OIL EC.� SOLAR SOLID CONDLTIONINC ORCED AIR H.W. LLEC. BASE. STEAM SYSTEM RADIANT SUPPL. A CHIMNEY: "A" "B" DIRECT VENT CON.BURNER CALCULATED HEAT LOSS SYSTEM BTU RATING/��a,/���y�j� . MISC. T� INSP. ROUG}� IN FINAL / EST. COST (�_ U`�O PERMIT FEES , �/`� DATE PD f REMARKS � ,, � t ,_.,. .�. .�� �.. �� �v � �:,.. '� .F �- t, q � <�-