HomeMy WebLinkAbout0023619-HVAC (a/c) CITY OF OSHKOSH N° 23619
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG y ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 575 _; PLAN NO.
OWNER N n ka n IQ,/
DESIGNER
USE /NATURE OF WORK 'o i►r/ 400'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR 1,- 1'
Heat ❑ A/C Vent ❑ Fuel /System Heat Loss )C/51 BTU'S /' ; 9i9y7
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 $ / "'1 - Permit Fee Paid $ /' , f° Park Dedication $
ISSUED BY Date ll /Y /Cf f Final /O.P. (.;,/7/4/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE -AMP ..-., ....-/ '._ —16ALZi aNV
AGENT /OWNER DATE
ADDRESS
- TELEPHONE #
APPL . DATE ,u /� '1/9/ - PERMIT NO. ,
ADDRESS /67.3 ..r//ehre Dr,
OWNER P4/i kanrei
NATURE OF WORK 464W PIC-
HEATING CONTRACTOR IV er G
FUEL: GAS OIL EC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. ) A/C VENT
"A" "8" DIRECT VENT CON.BURHE
CALCULATED HEAT LOSS j SYSTEM BTU RATING ' <7
MISC.
INSP. ROUGH IN FINAL al/Q/
EST. COST i8G'. Gam`' PERMIT FEES Pe,. cAe DATE PD leM9/
REMARKS