HomeMy WebLinkAboutHVAC CITY OF OSHKOSH N°_ 25921
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ir ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /u '/ 6 ` U Z /!/1 /'` / U PLAN NO.
OWNER Jerr tiri P5
DESIGNER
USE /NATURE OF WORK 1+ ` l • A ` Ale / �p'/7?t:
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 49 rect./ er ,/
;t Heat Y"' A/C ❑ Vent ❑ Fuel /System /1r- - Heat Loss /95 BTU'S 7S 0
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 $ h'' . c9Q Permit Fee Paid $ 3(r. / Park Dedication $
ISSUED BY Date i %//9/ Final /O.P. 7 "d 7 93
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
7
SIGNATUR i • !(VA i�
1
' AGENT /OWNER 'DATE
ADDRESS Il ;Ii9( 4,- -.1 `�-(" R,,,,,,,, 7,,,,,,,„,--
TELEPHONE #
PERMIT NO . APPL DATE 04/ ��
ADDRESS !u '/ ( i'vers1 1-7W
OWNER trerr /'-% -L Us
NATURE OF WORK Jf v G A, 14‘44-1. ,e-
HEATING CONTRACTOR IJrec.ver fily
FUEL: eap OIL ELEC. SOLAR SOLID
r
CONDITIONING ' P ACED AIR H.W. ELEC. BASE. STEAM
SYSTEM GIANT SUPPL. A/C VENT
CHIMNEY: "A" = _1IDIRECT VENT CON. BURNER
CALCULATED HEAT LOSS /' )9 SYSTEM BTU RATING 75 O
MISC. c
INSP. ROUGH IN FINAL till./ if,
EST. COST•V 4 CV PERMIT FEES '3ff'„,,,p DATE PD /Oh -1/V
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