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HomeMy WebLinkAbout0023626-HVAC (add a/c) /� CITY OF OSHKOSH N°_ 23626 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ����� ��/�/�/� !J PLAN NO. OWNER_�/�/� �/`!J KO/'/�J DESIGNER USE/NATURE OF WORK �� /�C�— �'� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � ` Heat ❑ A/C � Vent ❑ Fuel/System J �� Heat Loss�SiO����� BTU'S /� 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�/��� Final/O.P._T�ql In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATURE Y g AGENT/OWNER DAT ADDRESS TELEPHONE# � APPL. DATF/����'/� PERMIT IdO. b� ����� ADDRESS�1'}h .l� /`���^�+�.Ij'� OtJN�R �i� , , ! ' G/'�'1 NATURE OF WORK /�����,!,�' /T �— EIEATING CONTRACTOR • � a FUEL: GAS OIL E� 50LAR SOLID 1 � � CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. '�/C VENT CHIMNEY: A B DLRECT VENT CON.BURNER CALCULATED HEAT LOSS '��}a��� SYSTEM BTU RATING '��z �� / MISC. INSP. R�UGH IN FINAL � EST. COST %�-G�. �� PERMIT FEES ,� 7, G^� DATE PD� �f �' REMARKS + I � � I �