HomeMy WebLinkAboutHVAC CITY OF OSHKOSH No 09051
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6u f 1`1/ e 'nI/ J `/ 620/ PLAN NO.
OWNER ( L� P YI �
DESIGNER
USE /NATURE OF WORK 1/
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR rjJrl 1/71c:7 / C E'J /h,11
f ." Heat cp A/C Vent ❑ Fuel /System Al 6".. Heat Loss S Pp BTU'S Ll 3 -- /% 2 T
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 $ 5 te1P • Permit Fee Paid $ j'1 Park Dedication p $
ISSUED BY Date - 7/ //gz Final /O.P. / ' 13 - �{
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE TI
AGENT /OWNER J TE
ADDRESS
TELEPHONE #
PERMIT N0. (9 9®7/ APPL. DATE 3„ /,, %�
ADDRESS `6L / f l'l /-G!^,i `/ �i G/ 7
OWNER 6 rv6' r. `i ka y ge ?ft GY -.
NATURE OF WORK JI pro s// 4‘ ..A/ E . , 9 ) 7 11-• Wk.--
CONTRACTOR (20//,,,A, „ , )ch,/ C Q 4 7it
F!JEL: 0 OIL SOLAR SOLID F
t
CONDITIONING 9ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY OM COND. 1
CHIMNEY: "A” "B" 2($IRECT VENT CON. BURNER
CALCULATED HEAT LOSS J 47p SYSTEM BTU RATING . �
MISC. "Y 37 /G
INSP. ROUGH IN FINAL $ ,3
EST. COST'tD. CC{;PERMIT FEES :M eV' o' �A ATE PDJ/ / /J.$
REMARKS
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