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HomeMy WebLinkAbout0047899-HVAC (a/c) € J�/ � N�� 47899 � � CITY OF OSHKOSH , PERMIT - APPLICATION AND RECORD ; � TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS 0``� " � er✓r'�1�9' PLAN NO. ` OWNER �Y`�9' -�1 9` i�+C�!'�/ �!` /'r1 �jr" � � DESIGNER USE/NATURE OF WORK , v/ �/� B�ILDING CON7RACTOR � Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �' �� � ' � Heat ❑ A/C �7 Vent ❑ Fuel/System �� Heat Loss l-����T BTU'S d� ��„[✓i�-° ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBINCa 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 $ �5- �� ' Park Dedication $ �- ISSUED BY Date�� �"�� y� Final/O.P. �� � � ' �� fn the performance of this work I agree to perform all work pursuant to rules governing the described construction. )�� ��Z� f : SIGNATURE v`� ��� � �Y 1� AG /OWNER DATE ADDRESS �� R O V �i �, ` $ ��J r�23 S �v�R' 7 D ` TELEPHONE M APPI� DATE ��/�/9� PERMIT i10. % / 4 j� ADDRESS_; ����ps�{� OWNER V r'f'9 -ri 4 /�tT�`'�� �� G/9�t''J` � NATURE OF WORK ��j� �G HEATING CONTRACTOR �� �� � • FUEL: GAS OIL EC SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. CHIMNEY: "A" "B" DIRECT VENT CON.BURNER CALCIJLATED HEAT LOSS L'1�iC-�` SYSTEM BTU RATING � Tv� MISC. INSP. ROUGH IN FINAL EST. COST $',�`D.U'O PERMIT FEES /,�_!/�� DATE PD O �J �j REMARKS