HomeMy WebLinkAbout0017086-HVAC 4.) _CITY OF OSHKOSH N9 17086
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG $ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /L 1-ia7t Yi1. PLAN NO.
OWNER _ '/^/'y Ha t4 , ,� —
DESIGNER /
USE /NATURE OF WORK ki z - //1_ q /fieb - h 4,17
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR fla-r / e pi / . 5
t i Heat a A/C ❑ Vent ❑ Fuel /System f L / Heat Loss /95" BTU'S 6 rJ`
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 $ ; 1-`A --"- CJ`'t Permit Fee Paid $ t C. c�� Park Dedication $
ISSUED BY Date �/, &' Final /O.P. d2 a-.2 d
In the performan•- of this work I agree to perfor all work pursuant to rules governing the described construction.
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AGENT /OWNER BATE
ADDRESS
TELEPHONE #
APPL. DATE ////57f, PERMIT NO. i',
ADDRESS / // 5 4, z°`' /`-s h e-
OWNER , l f Ai / li
NATURE OF WORK H fp* h nom' / / J / X4 0 �
HEATING CONTRACTOR l �"7� r ° " `� $ 1
FUEL: 6g7 OIL ELEC. SOLAR SOLID
CONDITIONING \ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUM: A/C VENT
CHIMNEY: ''A" ' DIRECT VENT
CALCULATED RATING ULATED HEAT LOSS
CALL SYSTEM BTU RATING ITO L2 t9
INSP . ROUGH IN FINAL 150774 _
EST. COST J`e. PERMIT FEES Zj CEO DATE PD,�oze�v
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