HomeMy WebLinkAbout1991-HVAC (a/c) (2) CITY OF OSHKOSH N°_ 23109
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG tyl ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Oq &e -h01 It- PLAN NO.
OWNER T m Y kiOol s, yoe,"
DESIGNER
USE /NATURE OF WORK OW %
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR P/744 hY/ e'pvh rye 7 ,r2c-
Heat ❑ A/C Vent ❑ Fuel /System g /'dc- V Heat Loss rici BTU'S 6 7z2
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
FEES: Valuation $ lift -Cfr Permit Fee Paid $ / G • tte Park Dedication $
ISSUED BY Date l Final /O.P. t*/ 7/ 9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1.1 0 00/
AGENT /OWNER D E
ADDRESS
TELEPHONE #
•
APPL. DATE y /s2a'`47 PERMIT NO. P_310
A»RESS.. _ L 7 ( lc zac
OWNER rrl y Tv � y keifri
NATURE OF WORK r9cic/ 191
HEATING CONTRACTOR L 7o ) f Cpvncp1` y K.,
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM
RADIANT SUPPL. /C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS )di`s SYSTEM BTU RATING 7
MISC.
INSP. ROUGH IN FINAL 1 /�i/
EST. COST '3 /Q ' .C/0 PERMIT FEES 3 , ae) DATE PD �/ //j�� /Q/
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