HomeMy WebLinkAbout0040586-HVAC N°_ 40586
4) CITY OF OSHKOSH D
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG y ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / O 4/ei Dl!#9 467 PLAN NO.
OWNER ' i A Gi
DESIGNER
USE /NATURE OF WORK J—&,L! 4/ r_! l
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 13 r e (- -' e -
Heat A/C ❑ Vent ❑ Fuel /System /(t..il Heat Loss /9-.5 A', BTU'S 2.9
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change p Temp p 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 $ Permit Fee Paid $ 3 0 4/-1:9 Park Dedication $
ISSUED BY C ;-, - v Date 7P1/ 9 'Y Final /O.P. g '6 • ` W
In the performance of this work I a ee to perform all work pursuant to rules governing the described construction.
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SIGNATURE - ' 7 /J/ / 9y
AGENT /OWNE D TE
ADDRESS
TELEPHONE #
APPL. DATE /ate /�( PERMIT NO. t-fa rs%
ADDRESS /O(O J- a y �f' i g
OWNER / r 1U 14 1 8v r C. L
NATURE OF WORK r..! j/ / ' �°' • /V e ui 14/17e.
HEATING CONTRACTOR j ! Gt/ $ r $
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING ?ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS X1 ,�j� SYSTEM BTU RATING 75 t,v'7
MISC. /'
INSP. ROUGH IN FINAL /OA / 0 7---at-
EST. COST 1,.."0.- c17 PERMIT FEES 38', DATE PD /)111,-
REMARKS
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