HomeMy WebLinkAbout0014786-HVAC (a/c) CITY OF OSHKOSH N2 14786
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG al ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 37t T G/ / , p PLAN NO.
OWNER ij a,6 / JL,/q
DESIGNER
USE /NATURE OF WORK e, /` C_ .5:E
dti ,GJ
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Fla h / / re of 11 D L
Heat A/C c 2" / /
❑ C Vent ❑ Fuel / H eat Loss 1G !CT BTU'S d"' �1� 7�i� /�!L
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
,,...e /
FEES: Valuation $ /7 Z''`Q Permit Fee Paid $ P- Park Dedication $
ISSUED BY Date (V7/17- Final /O.P. 9-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE /
A GENT /OWNER � / D
ADDRESS l 6 03 - " /11 3S Il 8
TELEPHONE #
APPL. DATE ) j li /79 PERMIT NO. )1
ADDRESS / 6 - G ,
OWNER S1f 1°i� j 1. & L°''
NATURE OF WORK )45g, C_--- HEATING CONTRACTOR 471.71'17411 /L,L7y )_/
FUEL: GAS OIL li. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM_
SYSTEM RADIANT SUPPL. ALA /C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNE,
CALCULATED HEAT LOSS 1`S 1 SYSTEM BTU RATING P // t ir's>
MISC.
INSP. ROUGH IN FINAL 1//06'9
EST. COST / 70yr. eV PERMIT FEES .1:4;4 .CY, .C' DATE PD ,/,0
REMARKS