HomeMy WebLinkAbout0043668-HVAC (furnace & a/c) O 2-
CITY OF OSHKOSH N 43668
PERMIT -- APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 2 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ',572- 5/9 p C.7/OErd PLAN NO.
OWNER T. .15 4 Gt/
DESIGNER
USE /NATURE OF WORK Re-de c eo Pc. N tiac e 9- itZed Mjc_
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR T e_ela — Ze° ki7'h er -" KCt H
Heat' A/CiD Vent ❑ Fuel /System /v,4 Heat Loss 1 BTU'S yd 1:'
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_ BT _ WH _ Disp _ WSoft — CBasin
_Lay _ Sh _ DW — DF _San. Sewer
__WC _ FDr _SP — Ur _Storm Sewer
Sink LTub Eject SS — Water
Other
FEES: Valuation $ 0 Uv' c-}-0 Permit Fee Paid $ 3 / ` e"--69 Park Dedication $
ISSUED BY r4- Date 12/ r /9s Final /O.P.
In the pert. ' ance .f is work fl . ree to .:rto . work pursuant es governing the described construction.
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AGENT /OWNER t)ATE
ADDRESS 0--j . 6 < "2,3j
1 T TELEPHONE # ��
B , $ Pte
APT DA
ADDRESS
1 _ m`:�'
OWNER , G e /C----- WORK - / Q'c - fc/ r .c c 9- AO
C/
OF _ ��� �� � --- 4lZ4
HEATING CONTRACTOR T Am.,- SOLAR SOLID
FUEL: ® OIL
• F ORCED AIR K.W. . ELEC. BASE. i
STEAM
CONDITIONING t � 1 -'..- �i:
SYSTEM RADIANT
'3' PIS CON . BURNER
CHIMNEY: A� STEM BTU RATING 4 /i� e
CALCULATED HEAT LASS �S�6 iG
MISC. FTC ®�
INSP. ROUGH `IN Q , p DATE PD r
EST. COST �j & O FclO PERMIT �'E�J6 ��
REMARKS
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