HomeMy WebLinkAbout0042842-HVAC N2 _ 42842
CITY OF OSHKOSH
P ERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS __ z ,L 7 Y. r" /4 ,-1 .. PLAN NO
OWNER Cla SS/ g C 1
DESIGNER
USE/NATURE OF WORK j',4-i --, Neu/ 9 mm te
I
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR t'-ui 0 l"
Heat rA A/C ❑ Vent ❑ Fuel /System N... Heat Loss /1-5 #1, BTU'S P, O'4`'f:'
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
J� el-Z:2
FEES: Valuation $ /� r Permit Fee Paid $ /.7 Park Dedication $
ISSUED BY Date /// Or Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Z LUe 4 /00*
AGENT /OWNER DATE
\
ADDRESS Ay' TELEPHONE #
APPT, DATE /
® 1 PERMIT NO. figNOW 2-
ADDRESS 14 5.0 4Pger �E
OWNER e/fftise % 6/191
NATURE OF WORK thy 1 401 44
HEATING CONTRACTOR Orie •CJ ef''
FUEL: 667 OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. VENT STEAM
SYSTEM RADIANT SUPPL. A/C
CHIMNEY: "A" "8" y4'IRECT VENT CON. BURNER
CALCULATED HEAT LOSS *r SYSTEM BTU RATING 6
MISC.
INSP. ROUGH IN FINAL dttiViyj
EST. COST 40-9,2.0 PERMIT FEES 33; Gh7 DATE PD / /JJ Y
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