HomeMy WebLinkAbout0020122-HVAC CITY OF OSHKOSH N° 20122
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /ego LQQf e/1 H ,-- PLAN NO.
OWNER fiR �f ,D O i7 /7 el"
DESIGNER /
USE /NATURE OF WORK t4 7°lc / /'tl y 41ew 6'.
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR DW /? le r
Heat A/C ❑ Vent ❑ Fuel /System /V Heat Loss ,2 BTU'S 1'j ‘
/
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 $ p-,SrJp _ r/`f, Permit Fee Paid $ 3 D• 4"e9 Park Dedication $
ISSUED BY Date �'/�3/90 Final /O.P. - / - V
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE . I
•� O DA
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AGENT /OWNE • B
ADDRESS
TELEPHONE #
APPL DATE y /� /. PERMIT NO . /01 �--
ADDRESS /b0?)-- j'6-f 7 " r . L.
OWNER pay .P0 " " , r
NATURE OF WORK c-r2 - I 'p / I/ J &., ,r
HEATING CONTRACTOR QCclirl Z o r
FUEL: dip OIL ELEC. SOLAR SOLID
CONDITIONING yQORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B' K DIRECT VENT
CON.BURNER
CALCULATED HEAT LOSS 1 SYSTEM BTU RATING d U`
MISC.
INSP. ROUGH IN FINAL
EST. COSTY L /tea . Cl-z2 PERMIT FEES
REMARKS 3 Ch,
DATE PD /9e
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