HomeMy WebLinkAbout0012093-HVAC (remodel)CITY OF OSHKOSH No 12093
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG'~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ / Q ~~U Z ~ !0 ~ /'°' ~~d 6~ PLAN NQ.
OWNER
i
USE/NATURE OF WORK /
J
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height .
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ' ~~ ~~/'~/~/ ~ / .~/2G
Heat ~ A/C ^ Vent ^ Fuel/System -L`' Heat Loss BTU'S 0 ~`U~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
Volts Amps
Circuits
PLUMBING CONTRACTOR
- BT _ WH Disp WSoft - CBasin
Lav Sh _ DW DF San. Sewer
WC FDr SP Ur _ Storm Sewer
-Sink LTub Eject _ SS Water
Other
FEES: Valuation $
ISSUED BY ~7 ;/" " - ~ Permit Fee Paid $
Date ~< <~`'~~
0 Park Dedication $
Final/O.P.
In the performance of this work I agree to perform ~I work pursuant to rules governing the described construction.
SIGNATURE ~
AGENT/OWNER DAT
ADDRESS
TELEPHONE #
PERMIT NO. ~~~ Orf ~j APPL. DATE ~ ~/~~
ADDRESS ~~ 1~:~~,l~l/'.~20~
OWNER r~~r~L°S~ ~f9/1li°v`- r®~~ ~r/n/i~ /~ f
NATURE OF WORK ~.(~~ ~'~E/ ~U' ~ C, l~tdGC G 6
HEATING CONTRACTOR ~C, / L ~ NN~ l~
FUEL:C~ OIL ELEC SOLAR SOLID
CONDITIONING~'ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CITIMNEY : A' 'B ' IRECT VENT CON . BURNER
CALCULATED HEAT LOSS~SYSTEM BTU RATING7~
~~r inn ~/~ ~ ~. ~ ._ h
ESA'. COST~~.~~r''b PERMIT FEES
REMARKS
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