HomeMy WebLinkAbout0026764-HVAC CITY OF OSHKOSH N° 26764
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG lor ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / /5t 4 j / iy L,° PLAN NO.
OWNER of ` 5Jia, 'h 19 "e l p y
DESIGNER
USE /NATURE OF WORK A r A-_G Nec r f/69 /'n .
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
171 EATING CONTRACTOR 43 /` S' cc/ . /^ GT E+ i
Heat ® A/C ❑ V ent ❑ Fuel /System ��u / Heat Loss 9f /J9 BTU'S 75
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 $ % Ge; Permit Fee Paid $ 9 D • c`O / Park Dedication
ISSUED BY Date )d /) 7/9/ Final /O.P. 1-- a 9
In the • - o : • e of this work I agree to p: • • all work pursuant to rules governing the described construction.
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SIGNAT. _rte -- I J d? // 4/
r AGENT /OWNER D E
ADDRESS
TELEPHONE #
APPL DATE// PERMIT NO . (y
ADDRESS / RP 4 ' p e #.-
OWNER , `
NATURE OF WORK/ ' '. /uew
HEATING CONTRACTOR
Z
\ C/
FUEL: OIL ELEC. SOLAR
SOLID
CONDITIONING i ORCED AIR H.W.
SYSTEM ELEC. BASE. STEAM
RADIANT SUPPL. A C
CHIMNEY: = "A" �� ��
CALCULATED HEATALOSS B �, RECT VENT CON.BURNER
MISC._SYSTEM BTU RATING
INSP. ROUGH IN FINAL tf,'fl-
EST. COST 5 901P .Ctp PERMIT FEES
REMARKS DATE PD/ Q
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