HomeMy WebLinkAbout0023919-HVAC
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
23919
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
W e~f"y:
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,
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const
Height
Occupancy Permit
Foundation
9 HEATING CONTRACTORY a k '5 QJ//a ;,. Xy
~. Heat rp AlC qp Vent 0 Fuel/System A[- t.
fI-~47t'n9
Heat Loss 1>-5 )rJpp
BTU'S 75}~
<v- '3)'?;Y h .;9-/e-
" ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
1:
Fixtures
Switches
Receptacles
, Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ 1/ 'lCl-ttfl ~.~
ISSUED BY ~
"/
crt!? v'
Permit Fee Paid $ 5'"Ye
Date & / / tp /-1/
, "
Park Dedication $
Final/O.P. ~ - /9 ~9r
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~ D.-k"-r-..b/A----
C AGENT/OWNER
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t>A TE -
ADDRESS
TELEPHONE #
APPL. DATE / /;., /9/ <
I ,
ADDRESS /7 'f) f/VYl 1-r'r'5'
yt'nz
PERMIT NO. ;;-1919
C-/~h
NATURE OF WORK
C-
78'8 -,(/'91
OIJNER
FUEL: GAS
SOLID
CONDITIONING
SYSTEM
FORCED AIR
RADIANT
ELEC. BASE. STEfu~
Ale VENT
CHIMNEY: "A" "B" DIRECT NT CON. BURNER
CALCULATED HEAT LOSS 11-1" Npp STEM BTU RATING'
MISC.
INSP . R~UGH IN
EST. COST~. u-o PERMIT
REMARKS