HomeMy WebLinkAbout0013978-HVAC (a/c) 4.-") CITY OF OSHKOSH No 13978
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG y ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS P 9 ' HAIL e N I/4 PLAN NO.
OWNER Ht. ° - NE5: P -e ! e p
DESIGNER
USE /NATURE OF WORK t l C_— f. 4 ' 5
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
' HEATING CONTRACTOR �. a° -/q a ,Z N eh
y Heat ❑ A/C 1p Vent ❑ Fuel /System k 1e C---
Heat Loss 1 / % 7 BTU'S
1 '4 re
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /f c' Permit Fee Paid $ /7- 'I Park Dedication $
■ ISSUED BY i�� � D a t e b/D �� -e Final/O.P. 67 3 a9
In the performance of this wor I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Ah I ' - 1 p.. /� /!s
AGENT /OWNER DA
TELEPHONE #
PERMIT NO. /597/ / APPL. DATE
ADDRESS a l'/e) /7/ /i e/,./
OWNER HP. V" /'9'p
NATURE OF WORK Rda
HEATING CONTRACTOR
FUEL: GAS OIL 4 SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY / / IR COND.
CHIMNEY: "A" "B" DIRECT VENT C ON. BURNER
CALCULATED HEAT LOSS s 1" SYSTEM BTU RATING-,
MSC. / `t O / � y
INSP . ROUGH IN FINAL lre
EST. COST //5 PERMIT FEES /7.- rep DATE PD 4l� y _fr9
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