HomeMy WebLinkAbout0014465-HVAC (a/c) CITY OF OSHKOSH N9 14465
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG X ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS '4 ;1 / e!nt✓a PLAN NO.
OWNER Oar i B r oc i /le ! f e-
DESIGNER
USE /NATURE OF WORK / � / 1 C.o 1 r `'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
z „,.. HEATING CONTRACTOR It) .of 1l,y A±.:*
Heat ❑ A/C p Vent El Fuel /System �? Heat Loss /---- ::— S 6 /.5 - .5 J BTU'S �� I
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 t ! l u X77, Chi'` Permit Fee Paid $ !i`
�, e v Park Dedication $
ISSUED BY - Date 7 //r/a / Final /O.P. s -.R1- 999
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .Q e -/--- AGENT /OWNER / /��
DATE
ADDRESS
TELEPHONE #
PERMIT NO. ) 1 APPL. DATE 5/31/89
ADDRESS 2121 Minerva St.
OWNER Bart Brouillette
NATURE OF WORK Add A/C
HEATING CONTRACTOR Wesley Htg.
FUEL: GAS OIL )( ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. g A/C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BUP,NER
CALCULATED HEAT LOSS Existing SYSTEM BTU RATING 2 ' 1%-l-nn
MISC.
INSP . ROUGH IN FINAL ;f. >'
EST. COST J/,/}2.. € PERMIT FEES /. c DATE PD 7�/,Q7
REMARKS �/