HomeMy WebLinkAbout0009169-HVAC (a/c) 40Dv CITY OF OSHKOSH No 09169
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ►' ,I► ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //o HQ S/- PLAN NO.
OWNER , b) y 0 5 Y
/
DESIGNER
USE /NATURE OF WORK .0 • /L� re
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
f____ HEATING CONTRACTOR 1 el let /4 _ it- G
Heat ❑ A/C O Vent ❑ Fuel /System Heat Loss "C'L f? C BTU'S _ - IYJ "
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 $ 1'1 / • (iv Permit Fee Paid $ /91- -U t/ Park Dedication $
ISSUED BY / Date 7 / /i/ fO Final /O.P. g /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
,--0 S , .
SIGNATURE ,l -7 .--- /? //-6 7 // g�
AGENT /OWNER A TE
ADDRESS
TELEPHONE #
PERMIT NO. 45 /9/4 Q' APPL. DATE 6/1 ,F
ADDRESS j 6 A-429l70/ C
OWNER 0 4 y R d 5
NATURE OF WORK A/4/
HEATING CONTRACTOR 1,(/."S 1e/ )
FUEL: GAS OIL 4101P SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY )LAIR COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS �y r A v SYSTEM BTU RATING -
MISC.
INSP. ROUGH IN FINAL i(1,2-9/9jr
EST. COS / IZGY ,, c PERMIT FEES /rA DATE PD 7 /00%
REMARKS
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