HomeMy WebLinkAbout0026547-HVAC (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
26547
TYPE: BLDG 0 HTG 't$P ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
OWNER
Do I']
lie Cv r d (../
/
;2.,ePl7f1'er'
PLAN NO.
ADDRESS
/ Cjq 7
,
DESIGNER
USE/NATURE OF WORK
;JoPd ;He-
5~~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height.
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR RO?fJ1U~1-f'PJ I.,.. W'hf r r Irlc-
~ Heat 0 NC ~ Vent 0 Fuel/System m-ec:::f Heat Loss [?\.pj ('5 r
BTU'S.-2.;; Ie J-?
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
m
_Lav _Sh _DW _DF _ San. Sewer
. _WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ q/ CJ-tJ .. vLeJ
~
I
Permit Fee Paid $ .Lie; r tJ.t:; V
Date /17 / k /'7/
.
Park Dedication $
Final/O.P. /d -.;13-1/
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~~ ~ /,Pjf,/'i'L
\. / AGE~ .NT~!OWNER ~ I DATE
ADDRESS l q l S _~~ ~ <'25-5"'-- G 'Jb'1
TELEPHONE #
PERMIT NO.~& 7'17 APPL. DATE /P-ft/?/.
ADDRESS ! 9 ~ 7 /'-I c C (/ p'd '-/
OWNER, p", I? Z ~ h TIJ e r>
NATURE OF WORK fJ-,Pld. J4-/ C-
HEAtING CONTRACTOR Jt!.a~ Jnu75...e~ ~ \t-- Me
FUEL: GAS OIL (Ei~ SOLAR SOLID
CONDITIONING FORCED AIR HeW. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ~IR CONDo
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS F~ t~ 7 SYSTEM BTU RATING;Z y~ Tl7 ~
MISQ.
INSP. ROUGH IN FINAL ~
EST. cosTHlo-tJ ~~PERMIT FEES .4~.~ DAtE PD
REMARKS