HomeMy WebLinkAbout0023537-HVAC (a/c) CITY OF OSHKOSH N9 23537
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 7 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 5o1 C HI ill -11/C1 PLAN NO.
OWNER tierr7!� `J & r.
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR fit? /'I / ''iaii y .,-
Heat ❑ NC ID Vent ❑ Fuel /System 10-Z L / Heat Loss L YI 1S ✓ -
BTU'S /' reams /7
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 $ ! gee' ‘ Permit Fee Paid $ l9 Park Dedication $
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ISSUED BY Date 3/9 ®/9/ Final /O.P. CP / 71 9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE kt if( 4 00, AG /OWNER DATE
ADDRESS / / °5--
r j l a ”—^ a ii Fr
TELEPHONE #
APPL . DATE OGA/ PERMIT NO . 0 1. ?5 - 3 7
ADDRESS Ve Hi{2 erv4
OWNER j4 ?tfrnOp/ T e e
NATURE OF WORK 4 /7"4 -
EIEATING CONTRACTOR ria f eo f1-t
FUEL: GAS OIL Zgg SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM_
SYSTEM RADIANT SUPPL. /C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS y4 SYSTEM BTU RATING 7rj`j
MISC.
INSP. ROUGH IN FINAL 4
EST. COST pf j , .vY> PERMIT FEES 99 pp DATE PD l t,'bp/4/
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