HomeMy WebLinkAbout0019043-HVAC (a/c)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
19043
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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tI/k~
. ,
1:1-0/'0 n c..P':
frorna5
PLAN NO.
ADDRESS
DESIGNER
klo1
lJ-/ C-
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
"
L
C ~ l~ T BTU'S'?' Y;A r-z,/? /1-/ C
HEATING CONTRACTOR
[ Heal D Ale ~ VeoJ D FueVSystem
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
)
FEES: Valuation $ I t/ ~ I Ot? Permit Fee Paid $ r:f/c p'-t:'? V
ISSUED BY , ~ DateU/ $l:r/9't7
/
Park Dedic~~ $ ~
Final/O.P. ~ 10
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR:~tD $. ~~
) / AGENT/OWNER
ADDRESS L G\ \ <) ~1 --0-
~?-/9CJ
23s-~ (67'
TELEPHONE #
NA'l'URE OF WORK
HEATING CONTRACTOR
FUEL: GAS OIL
t/~?/10 PERMIT NO.
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,J1( 'J e Yhr;; ffJO ?
4M 11-1 C--
6!. )
h?(lJUS;Sr::f1 :;-
~ SOLAR
IfCJcj 3
APPL. PATE
ADDRESS
OWNER
1f-'7 o.r lJ-1 c-
SOLID
CONDITIONING FORCED AIR H. W . ELEe. BASE. S'l'E&'1
SYS'l'EM RADIANT SUPPL.- 'fA/ C VENT
CHIMNEY: "A" "BIf DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS r;:- 'f tl~ T SYS'l'EM .BTU RATING p..~' !C'Jn
MISC. .
INSP. ROUGH IN FINAL
EST. COST /6 t>tJ . c/'O PEaMIT FEES ~/ I' 1/7::)
REMARKS