HomeMy WebLinkAbout0023485-HVAC (furnace & a/c) CITY OF OSHKOSH N° 23485
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG tr ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ✓ " 0 a d 3 PLAN NO.
OWNER �G 4Y! c A lie! soli
DESIGNER d USE /NATURE OF WORK Q'C -1 e A// ac q- 6___ - 5 , R,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR .! / / j AEA: /� �- -7�-
Heat A/C Vent ❑ Fuel /System Heat Loss 4SV BTU'S �_ d __
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 r� Ye �� 4 t o "
$ 7 ` Perm Fee Paid $ � ; Park Dedication $
ISSUED BY Date 9/4y Final /O.P. - a 9 /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE OO`O Cii_1V\L✓yO—e-- c /g/
AGENT /OWNER / DATE
ADDRESS C /4 c fo a 7
TELEPHONE #
APPL. DATE ./ PERMIT NO. / ` f 1r
AA9»RESS
OWNER \reP In ' S � 11Z°f ,
NATURE OF WORK /QL e FUrKQCf
HEATING CONTRACTOR j? G rj 9 ' /C
FUEL: (3 OIL ELE . SOLAR SOLID .1
CONDITIONING (OORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. X/C VENT
CHIMNEY: "A" "B" 9ODIRECT VENT CON.BURNER
CALCULATED HEAT LOSS )0 SYSTEM BTU RATING 40
MISC. 9� /"' rev> /t/e.--
INSP. ROUGH IN FINAL 7/4.1 /p/
EST. COST'?gaz, .U PERMIT FEES `34 G`19 DATE PD Vj/
REMARKS
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