HomeMy WebLinkAbout0016901-HVAC (furnace & a/c) CITY OF OSHKOSH N2 16901
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG X ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS AP �'I/ `// e'/V& PLAN NO
OWNER 1-y L7 � 2 e sd
DESIGNER
USE /NATURE OF WORK 'Li/ _ Q c ,1114 d ' It
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR to Li AR- � 1
t Heat in, A/C p Vent ❑ Fuel /System /ti-6' Heat Loss X G`�7i /
BTU'S ,,, C.
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 $ 11- L Permit Fee Paid $ 4.5.-- d-.D Park Dedication
ISSUED BY <.,-6`!' Date 1/4/4 d Final /O.P. i t o — 90
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE I c� le
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL. DATE O PERMIT NO. /f `10/
ADDRESS__ / O !24.L°/'1/ /,i
OWNER ,7 .so 5_e/2
NATURE OF WORK f � / Q c - - ,'" L/
HEATING CONTRACTOR i ■ A At-
_
FUE OIL 4400 SOLAR SOLID
CONDITIONINGRCED AIR K.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. V ENT
CHIMNEY: "A" "B" )DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS f SYSTEM BTU RATING aO ( C
MISC. ' 02 7�N-
INSP . ROUGH IN FINAL 1 // jfO
EST. COST *010-0. cl-19 PERMIT FEES I15 0-C, DATE PD //1)W
REMARKS
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