HomeMy WebLinkAbout0027326-HVAC (furnace & a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
27326
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
0/1 if f3 ('? /'nO r k-
ef, CI r / e 5 (l a/ /Ice I.L.
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK--fl,q;J/ de e Ft/ rhLc e q.-.;# ,.6t!e-
~r-::
7.r.
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTORJtl5 mv;:; 7~ 14 5 If-If
~ Heat I$lJ AlC CW Vent D Fuel/System /IL...G
7- .#/C--
Heat Loss?~"~ Y
BTU'S &~ Pt?Z)
,
ct- ~ '&n
v
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
.
Switches
Receptacles
Circuits
PLUM81NG 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 $ 0 ~ Pt!JI -~
ISSUED BY ~
/
/
V
Permit Fee Paid $ 'I~. e:rt!J
Date tfL/j~/ 9$-
Park Dedication $
Final/O.P. '3.- 30 - ? ~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~~ ~~~
AGENT/OWNER
ADDRESS
lC\l5:
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~
~/17;/9L
ATE
L-~S-- ,~~
TELEPHONE #
PERMIT NO. '.J 7'!J-/; -"",PL. DATEY-/ /Wz.-
AnDRES S 91 if 13, '5" mu '- i::-
OWNER__ c-ha,./e~' 1!aJt2~ek. =--
NATURE OF WoRR ~~e FV"~dc.e Cf~ "#-Le-- =
;;;"ATING CONTRACTOR -1"12; n:~~ ;.,,, '... /-t.-f>? 'I' IJ1 ~ ~
FUEL' @ OIL ~ SoLAR SOLID
CONDITIONING ~ORCED AIR R .W . ELEC. BASE STEAM .=
SYSTEM GRAVITY SUPPLEMENTARY <pIR COND-
CRI MNEY " " A" DIRE CT VENT CON. n URRER
CALCULATED BEAT LOSS %'111'" _SYSTEM nTU RATING{I"l- ~
MISC' _ ' ; ~ ~!1
INSP. liWGR IN FINAL 'Y 'fpl 'f"f!..c
EST. COST~ *~c-'<> PEllMlT FEES fi .,.,.2DATE PD-;1, I?: 4'~
REMARKS
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