HomeMy WebLinkAbout0009753-HVAC (a/c) CITY OF OSHKOSH N2 09753
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p9 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 /// �/ h 7°14 j/' C/ PLAN NO.
OWNER / ` V j d g s P
DESIGNER
//
USE /NATURE OF WORK A_ 1 %/ , , , e "
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR - - ■ - h
t ' Heat ❑ A/C I Vent ❑ Fuel /System -,' Heat Loss Xd / BTU'S 7-4) 5
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 $ H(/ v - C /-12 Permit Fee Paid $ /% �. Park Dedication $
ISSUED BY ( 7 -. Date / /0 /rf Final /O.P. W — a 3 ` Y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
1 ..)
SIGNATURE ` --- k 7 r
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ' 973-9 APPL. DATE ;heft
ADDRESS 2 ' J/
OWNER A i'h,da 3 o
NATURE OF WORK k G
HEATING CONTRACTOR / (nAt —,Ze li7, -, 8V'
FUEL: GAS OIL 400 SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY '#IR COND.
CHIMNEY: "A" "B" DI CT VENT CON. BURNER
CALCULATED HEAT LOSS �r ' SYSTEM BTU RATING d 2 T
MISC.
INSP. ROUGH IN FINAL 1,1g'i
EST. COSTf atee. 7 eAPERMIT FEES `f. PD / / l0 �5(
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