HomeMy WebLinkAbout0028973-HVAC (furnace & a/c) CITY OF OSHKOSH N° 28973
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG jig ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 70 /Y4 p i PLAN NO.
OWNER RQiI a' y # ASS
DESIGNER
USE /NATURE OF WORK L.../ a — v , - j e r ,..../j / i /�
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR / e t ,h 57 , 1
r Heat A/C V Vent ❑ Fuel /System At 1- Heat Loss _L' >' / S / BTU'S 75 a
c i /5/L
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 $ , /' P.1, - LAC Permit Fee Paid $'95 °`o Park Dedication $
ISSUED BY Date 4 // 4 / 9 ft. Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE !%� _-E" --- P ` T /OWNER
ADDRESS
TELEPHONE #
APPL DATE—VW PERMIT NO . 5 7.3"
ADDRESS al YO/ / / �? /'' p(4, OWNER /1/ Q G CCe}k / 1��
NATURE OF WORK /14V j9 #1C-
/
HEATING CONTRACTOR ,/ �� I/0 ■ Zee-la
FUEL : GAS OIL 411"'' SOLAR SOLID
CONDITIONING FORCED AIR H.W. � cC • BASE. VENT
STEAM
SYSTEM RADIANT SUPPL. P -
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS L ICFCST SYSTEM BTU RATING /Z 7 n
MISCi
INSP . ROUGH IN FINAL fi
EST. COST J5Gb . PERMIT FEES RP cA DATE PDWV92.--
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