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HomeMy WebLinkAbout0040718-HVAC (add a/c) ��C � CITY OF OSHKOSH N°- 40718 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / �✓� � /–<<s����R 4 L� PLAN NO. OWNER_ � L-��L'/ DESIGNER USE/NATURE OF WORK � 1�!�I G BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR / C' L1�2 !7t`• �� J�tIG� <-j � Heat ❑ A/C �t Vent ❑ Fuel/System_���-F'C-�� �` ' � � ° G Heat Loss �� S f 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 _gP _Ur _Storm Sewer —Sink _LTub _Eject _ SS _Water Other FEES: Valuatio� $ � � � � - G'� Permit Fee Paid`$ �' �� �'� Park Dedication $ ISSUED BY `�--���' �-� Q Date _ Final/O.P. � ���' `:'`� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �-- ' --�=-� �''�i ,��2�0 p'!�./ GENT/OWNER �-- �' DATE ADDRESS ' ' / (! ' `� �/ � ..���77� �TELEPHONE# APP1, DATE �`il���.,l-- PERMIT fl0. �0 7! D ADDRESS_��,��y �r"C��l,��t�j ��„ . OWNER ����J ' NATURE OF 4J�RK /K��1 �G Y c� HEATING CONTRACTOR T� �t /rj �T. S,TG[�i�O h FUEL: GAS OIL LE SOLAR SOLID ` CONDLTIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEl1 RADIANT SUPPL. CHIMNEY: "A" "B" DIRECT VENT CON.BURN,Eg CALCULATED HEAT LASS �=�C``5 T SYSTEM BTU RATtNC 1%��Z MISC. ' INSP. ROUGH IN FINAL O EST. COST /'213 �, �� PERMIT FEES/'��. � DATE PD � REMARKS