HomeMy WebLinkAbout0009344-HVAC (a/c) CITY OF OSHKOSH N2 09344
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG f ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ✓ D 8 3h G7 /9O PLAN NO.
OWNER /74/ F r s'C.ANe r
DESIGNER �-+
USE /NATURE OF WORK �Cd /4'/G S A. oPe
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 5''4'/
t .. ._ Heat ❑ A/C p Vent ❑ Fuel /System i /e/Y Heat Loss ,VfL /5'7 BTU'S I ) \42°1- 2
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 $ / 3 el.„ O`O Permit Fee Paid $ 13- Y Park Dedication $
ISSUED BY `7 j Date 2//1 re Final /O.P. g - g -a - g'8
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 'ellkiiii . 1/ 1 0 1 ,_ '// ■ 7 / /Of
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. G APPL. DATE CG /1 /
r p� � .
ADDRESS /,� OO u'�7,2
OWNER g r de,/ rl s c--k ° V'
NATURE OF WORK )(454
HEATING CONTRACTOR 5 -0a r"S
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR SUPPLEMENTARY ELEC. BASER COND.
SYSTEM GRA
CHIMNEY: "A" "B" DI CT VENT CON. BURNER
CALCULATED HEAT LOSS 47-14ec,-y SYSTEM BTU RATING
INSP. ROUGH IN ''''��
SP. FINAL ,,�) -Jtr
IN
EST. COST�j 3,e. G` ? PERMIT FEES/9, ATE PD 7// /P"f
REMARKS
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