HomeMy WebLinkAbout0040092-HVAC (a/c) CITY OF OSHKOSH
N9 40092
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG X ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS `U r lay I N' 1- no PLAN NO.
OWNER S2 r /L° ,`5
DESIGNER /���0 �'
USE /NATURE OF WORK /0"b` �'! A1/4.-- �7
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 7 c 4 7k/ '7 � 5 / b✓ ®C� 4 9
[
Heat N A/C 7 Vent ❑ Fuel /System �'/ e' Heat Loss 1 T 7 BTU'S / 1 'VC...
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 $ 1190. Cht, Permit /7- "
t Fee Pa $ Park Dedication $
ISSUED BY Date q.9 Final /O.P. /116 • 9 1 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L� .. di 4'-G o �„ 9f/
AGENT/ R SATE
ADDRESS /2> e F/ i -6 �' /
TELEPHONE #
APPL DATE. PERMIT NO. ' 019 pj 1 .--
AeDUSS tiff -
OWNER ajtlp�/S
NATURE OF WORK 4idd.wjdC..
HEATING CONTRACTOR r�4 rja
FUEL: GAS OIL , SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. I CE9 VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS 6y/s " SYSTEM BTU RATING }- reoAphyL
MISC.
INSP. ROUGH IN FINAL / / / /q¢y
EST. COST `i QQ. CAP PERMIT FEES /7, 0 DATE PDG /t/ /96(
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