HomeMy WebLinkAbout1995-HVAC (a/c) 3
CITY OF OSHKOSH
N °_ 45734
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ( ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 g P ` {2 O w PLAN NO.
OWNER � a rf0/'� He /jeer
DESIGNER �D�
USE/NATURE OF WORK /gad/
—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /1 a r s•X 7 ss��
Heat ❑ A/C �/
Vent ❑ Fuel /System dec..--) Heat Loss ST BTU'S O` h9h j/C--
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ 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 _ LTub _ Eject _SS — Water
Other
FEES: Valuation $ /4' - 4-411' Permit Fee Paid $ /1 Park Dedication $
ISSUED BY % Date 00?
Final /O.P. oZ 3 - 9Lv
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
, 1
SIGNATURE ' �Il 16
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL DATE /7/93 PERMIT 110. / 13 — ",?
ADDRESS WG je(Ip
OWNER /74& jcr i' l�r i-ii— <'�
NATURE OF WORK `/ /f f17 G'
HEATING CONTRACTOR yet
FUEL: GAS OIL SI SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. )1C VENT t
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS ` f" SYSTEM BTU RATING 01 4'�
MISC.
INSP. ROUGH IN FINAL 5
EST. EST. COST /6 C .ch7 PERMIT FEES 5/. 617 DATE PD4[$r
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