HomeMy WebLinkAboutHVAC CITY OF OSHKOSH No 1
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /‘ V R Ir(/ -er/'!i, .1/ C/e:i PLAN NO.
OWNER J` !J n 11`" R° "epp ! r f'`
DESIGNER �/
USE /NATURE OF WORK f 4JC,__ /4 A In e_
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /ZC-6s7 7d / el -ref V
Heat A/C Vent ❑ Fuel /System N_� Heat Loss 95 At, BTU'S Cl o ~ v
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 $ !ee _ U`1> Permit Fee Paid $ �� � " Park Dedication $
ISSUED BY (--/--C-14J Date / //p 'l 1/49 Final /O.P. 7 - 3/ -- 9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Qvv M•— � y////7,
A T /OWNER
ADDRESS
TELEPHONE #
PERMIT NO . 1, 9j / AMYL . DAlh 9/i 7117
ADDRESS /6 V) Ai, t l ^ ,4 -i,' / Re:I
OWNER CC1 ! 7 I 5 Ji ' z°
NATURE OF WORK /f tl j ier_g- 14
HEATING CONTRACTOR j j 2.-27Y-4/ 42/it 7/--
FUEL: OIL + o) SOLAR SOLID
CONDITIONING RCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY IIR COND.
CHIMNEY: "A" 'r ' IRECT VENT CON. BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING
MIS C .�
INSP . ROUGH IN FINAL ,
EST. COST /,pip ' et, PERMIT FEES : ,. Gnp DATE PD `'�'
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