HomeMy WebLinkAbout0027688-HVAC (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
27688
TYPE: BLDG D HTG 00 ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
'fq,- /117'-1 pVe'-
5r. fy;;'7--eH Ca 9ho Ju'c Chdr'vh
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
Me!
~! L--
eh'/r?l~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
e
HEATING CONTRACTOR {iior 111-10#
Heat D NC ~ Vent D Fuel/System
fl-t-t
p/~'d
Heat Loss Ih /iflp
BTU'SrJP ~,It:/ Ph eq.,
EbECTRIC CONTRACTOR
C Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
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
Permit Fee Paid $
Date
I
q (/6: #"P ..;
'3//7/0/ L--
Park Dedication $
Lf. -'JL/~ 0").
Final/O.P. ~ (7 I
FEES: Valuation ~ . r~
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
!J~",=1:
,?p7/?E-
DATE
ADDRESS
TELEPHONE #
APPT., DATE ~ /7/ q z, PERMIT ~O. ,j. 'It ffff'
ADDRESS If J" Jj./ f h .J!J-pe
OWNER 71:. f~i-er~ & ?h. eltvpch
NATURE OF t-lORK 1tJd./ HI c- .
HEATlNG CONTRACTOR CJ~ r I~ PI 11-17
FUEL: OIL ~ SOLAR SOLID
COND:d'IONING
SYSTE~t
FORCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE.
C
STEAM
I
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS '1-5 h-p,p SYSTEM BTU RATING fJ.-AJ90 ~h et:2 /
MISC.
INSP. ROUGH IN FINAL It. '; C(j 'fJ!-
EST. COST ij'~~.vo PERMIT FEES 1~O:~ DATE PO '/
REMARKS