HomeMy WebLinkAbout0024072-HVAC (a/c)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
24072
TYPE:
BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
I?/ b l!-t/jjdr47/'
/'1' if ~ &-/j 5'cn
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
M/ I1-jc-
5- {I!= Ke7"
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR f3d} 11-,/
Heat D NC'f/l Vent D Fuel/System p/~ v-r
C5~e'U'~ )
-
Heat Loss fr~ I "-f; 1
BTU'S ? h? r7
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_Sink
Other
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WH
_Sh
_ San. Sewer
_Lav
~WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
FEES: Valuation $ J ~ ~ ~
ISSUED BY ~
Permit Fee Paid $ t#0'~ v&
Date 7//1-/'9/
Park Dedication $
Final/O.P.; - I <r - <1 I
(
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
r:&
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AGENT/OWNER
9J~~ t?d2
97~~
7){jv
7 ,;1S~?J I~
TELEPHONE #
ADDRESS ) ~~.l
::~~~/!j~/41 H.j~aj':/7:~ !9.lio7~
Ol/NER_ _ ,__ "< _---d Jq ~
",.tuRE OF woR!< ~. -
REAT1NG CON'TRACTOR C7 et:i~
FUEL: GAS
CONDITIONING FORCED AIR R.W. ELEC. BASE. STEAM
sYSTE>l RAJlIA>1T S1lPPL. '(SIC VENT
CHIMNEY' "A" "B" DIBLCT VEl<! CON. BURNER
CALC~D 1lEAT LOSS J ",. '" T _SYSTE>l B'TIl RATING J 17:J n
MISC.
INSP. ROUGll IN F1NAL I
.:ST. COST .1 fl't7 . ,X/ _ .':1\.'<1 -r FEES /l:!!.. o-t7 _DATE pD 1 ~
-aEMARKS_ . _
~~ ~
SOLAR
SOLID
OIL