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HomeMy WebLinkAbout0005722-HVAC � CITY OF OSHKOSH N° 05722 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS—��h���/T/���� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK������������!�L�% 'S,� ��c° C' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR / � Heat �''j A/C ❑ Vent ❑ Fuel/System � �� Heat Loss � BTU'S � ' 7_. T ELECTRIC CONTRACTOR sElectric 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 Final/O.P. /d '��7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ""tl�N � � � AGENT/OWNER ATE � ADDRESS � TELEPHONE# - PERMIT N0. � S7�-� AYYL. llA'1'� /7 /� � ADDRES S � `� ��J' /�j'� /G t�G� � OWNER ��`j �(�`j ��P u✓ NATURE OF WORK �"-PQ�f h� ���� L�iYi��h�° HEATING CONTRACTOR ����,��T�� �/�y��r� FUEL: AS OIL ELEC SOLAR SOLID CONDITIONING�ORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND. CHIMNEY: "A" "B" IRECT VENT CON. BURNER CALCULATED tIEAT LOSS, SYSTEM BTU RATING O/'X� MISC. INSP. RO�GH IN FINAL - 7 EST. COST'�� PERMIT FEES� ATE PD REMARKS