HomeMy WebLinkAbout0027534-HVAC CITY OF OSHKOSH N° 27534
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1/ f f' Q y e1 ! /1 PLAN NO.
OWNER R—
DESIGNER
USE /NATURE OF WORK I e!.(i '/a't Lc
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR £ Yb.j4 h 1.1:44/ 6,vh.6c4f j
Heat p A/C ❑ Vent ❑ Fuel /System Al- 6 Heat Loss /k / BTU'S t'' 'e'
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 $ / if: Ut Permit Fee Paid $ "!� ` Ch0 Park Dedication $
ISSUED BY Date VGrn Final /O.P. 3`1* - 2.,)
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ( L\ 0i —` . 9/ G �I h
AGENT /OWNER � L--
E
ADDRESS
TELEPHONE #
APPL DATE. 3/4/Q PERMIT 110. 7 . ,9
ADDRESS /1 Le 4 y t°' 1-011 '.-
OWNER G ' 17 U P_
NATURE OF WORK l -10.. 3- Heal thm.
HEATING CONTRACTOR 6,0414 Td IA / 6 pi, r / _To c
FUEL: 46311P OIL ELEC. SOLAR SOLID
CONDLTIONING 'RCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A' RECT VENT CON. BURNER
CALCULATED HEAT LOSS » SYSTEM BTU RATING ti er e'/
MISC.
INSP. ROUGH IN FINAL Yd /S /fl
EST. COST `3fp /c: PERMIT FEES 'i 1 , 04, DATE PD 3,0
REMARKS
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