HomeMy WebLinkAbout0024487-HVAC CITY OF OSHKOSH N° 24487
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS , 4 0 I QQ f ew y! ,p. PLAN NO.
OWNER &Q ..er2#' g 5 c
DESIGNER '`
USE /NATURE OF WORK / A 111 Ale c-4- /S4 /II -e---..-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0 P e wt. , A
I Heat A/C ❑ Vent ❑ Fuel /System /l �
Heat L oss BTU 7. , G .age
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 $ / 3 CAN' Permit Fee Paid $ a
v � all" Park Dedication $
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ISSUED BY -�—"''
Date 7/x57 ? / Final /O. P. in - 7 -9 /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ` h° / 4G
‘. 5 2
AGENT /OWNER llaJ711SC
t� TE
ADDRESS `�S oq / - Sly, R ipp n 7 ' -:G�+
J TELEPHONE #
APPL. DATE Li /`� /�!/ PERMIT NO. 2.ipi8 7
OWNER �Cv Y V b - I? l/j'/ �J
, NATURE OF WORK i} eAY rt f h i =Q._
HEATING CONTRACTOR g r Ccv er
FUEL: 491) OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" " DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 00' /j/, p SYSTEM BTU RATING -252,ete-p
MISC.
INSP. ROUGH IN FINAL !a /7 /g/f
EST. COST i igrov . cp PERMIT FEES fi. j (-p DATE PD 7/q
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