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HomeMy WebLinkAbout0028415-HVAC (add a/c) /� CITY OF OSHKOSH N°_ 28415 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Idl/ ��N��'`/ PLAN NO. OW N ER (��"C'�'i r.ti Q�/�C-C`' DESIGNER USE/NATURE OF WORK �� f�/ G �—� ' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � 4 ` � � Heat ❑ A/C [� Vent ❑ Fuel/System �'G U Heat Loss F��S..* BTU'S /' � �h ��r 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 $ r O�i�. �`'� Permit Fee Paid $ �y°�� Park Dedication $ ISSUED BY C��ZE� �- Date Final/O.P. � In the performanc of is ork I agree perf all r uant to rules governing the described construction. � SIGNATUR ' �� GENT/OWNER ATE � ADDRESS ��S `��l / 0 � , � TELEPHONE# / 'i �,` � J ,i%l� � /- APPL. DATF �j'/L� �� PERMIT �d0. ��'y/� _ A���s _... .. /�l� /'-IC�'/'�" 11` OIJNER �'g��"Lo9 �/��Lf�.,� �" — NATURE OF WORK �� ��� HEATING CONTRACTOR ����� —���]"� �� FUEL: GAS OIL L C. SOLAR SOLID !;ONDITtONING FORCED AIR H.W. ELEC. BASE. STEAM � :�YSTEM RADIANT SUPPL. �C VENT CHIMIVEY: "A" "B" DIRECT VENT CON.BURNER CALCULATED HEAT LOSS 4;�,�5 j SYSTEM BTU RATING_���� MISC. '� INSP. ROUGH IN FINAL ' EST. COST ��f�0, (�p PERMIT FEES�c.�, ts�� DATE PD � � REMARKS � �