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HomeMy WebLinkAbout0016842-HVAC � CITY OF OSHKOSH N°_ 16842 PERMIT - APPLICATION AND RECORD TYP�: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � ��I�i�21�'l�C� PLAN NO. OWNER��: /' � �CO-�L�/D �>° � DESIGNER USE/NATURE OF WORK I� t"�x ✓� ��'�,[��'LC�-' /�i'N �— BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��� �� -�C� � Heat [�' A/C � Vent ❑ Fuel/System ��'` Heat Loss BTU'S � l�� � �Ll�,��� ��--�1____ 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 ,J/ . FEES: Valuation $ "/v� � • �� Permit Fee Paid $ � < <~� Park Dedication $ ISSUED BY � Date � ��� Final/O.P. J^ 'J r � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �^'�-��"� � GENT/OWNER ATE � ADDRESS TELEPHONE# '_ APPL. DATE c!/�,5��,�` PERMIT NO. ��i�' �i A.1)DEZFSS_�t�`!r��� l , ��i_t�r� OGT(vER� CCi j^ ���S S �7�l'2 L� S NATtTRE OF WORK xi°� � HEAT?NG CONTRACTOR � � �p FUEL: G S OIL E C. , SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. BASE. STE�uK SYSTEM RADIANT SUPPL. C VENT CIiI�NEY: ��A�� ��8�� RECT VENT CON.BURNER � CAi.CULATED HEAT LOSS SYSTEM BTU RATING_�d ��L� :4ISC. I�TSP. ROUGfi IN FINAL ,3 � /�l' .-� I F� EST. COST L/�O: � PERMIT FEES �j� . � DATE PD - O c'iE!�IARKS