HomeMy WebLinkAbout0045002-HVAC (a/c) CITY OF OSHKOSH N2 45002
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS i 1-04 i" r / z PLAN NO.
OWNER ‘ Th'I (. 4 -1 pa n
DESIGNER j�O
USE/NATURE OF WORK /titi /7c
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
/ CONTRACTOR a s Ai 4G
Heat ❑ A/C 0 Vent ❑ Fuel /System L:-/L G Heat Loss L '5 T BTU'S 0 2. 7 V 0 h A/C
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 $ J'` T5 ' 1-119 Permit Fee Paid $ 01 ".• Park Dedication $
ISSUED BY Date V/ 7/ Final /O.P. it) //
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4
AGENT /OWNER 4� 71
ATE
ADDRESS VA l S Z �-_ 6 c/
G�r V
TELEPHONE •
APPL DATE ,r/ 7/95' PERMIT NO. 1 L
ADDRESS / h-a o fe
OWNER j■;›
NATURE OF WORK 4 624, /C-
HEATING CONTRACTOR If Q �i �,
FUEL: GAS OIL <!,' SOLAR SOLID
&ONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS r‘i ` f/-- SYSTEM BTU RATING ,/� 7v,
MISC.
INSP. ROUGH IN FINAL /0 /i8ffc''
EST. COST /4 PERMIT FEES%;/ DATE PD 01/99"
REMARKS
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