HomeMy WebLinkAbout0042551-HVAC (furnace & a/c) CITY OF OSHKOSH N� 42551
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG %' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2- Y 5A a eami PLAN NO.
OWNER rC)h h 5 - '7 v L tr___
DESIGNER / ��
USE /NATURE OF WORK ____1 l/4 L ° /Gvp414 C e' P �9 Add
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Tt'14 ` i 37`-, .51 ® k2
el Heat A/C fyi Vent ❑ Fuel /System /V-O: Heat Loss L'r W BTU'S 7 ✓ '^ os 9¢ Alm,
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 $ 7 1 I,- L,6 Permit Fee Paid $ 4(47 41-€2 41-€2 r
'
Park Dedication $
ISSUED BY Date !`6 eQy Final /O.P. //A •9f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE G _ / /
AG DOWNER / / /fEE`
ATE
ADDRESS 41079_ 0 1.'. o 0 77o
TELEPHONE #
i .�5�rj �/ PERMIT i10 . 7' :2
APPL DATE
.. fir..
4 .
ADDRESS
OWNER
`I 4 5c ,! /G-
NATURE OF WORK r� aC r�/r"K�ic ' 1 t
� �
HEATING CONTRACTOR_ 5 .
FUEL:
OIL 4400 SOLAR SOLID
ELEC. BASE. STEAM
CONDITIONING t ORCED AIR H.W. i
SYSTEM
RADIANT SUPPL. 1150'
�� "B" 1 DIRECT VENT CON. BURNER
CHIMNEY: i P '
CALCULATED HEAT LOSS ��` _ -_ SYSTEM BTU RATtNG
MISC.
INSP. ROUGH IN FINAL ! 124
EST. COST ig lf O G
PERMIT FEES y d � C2 DATE PD 477
REMARKS
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