HomeMy WebLinkAbout0028979-HVAC (a/c) (4-111-p.") CITY OF OSHKOSH N° 28979
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 9g ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS , y p Y iii /7 9 !" PLAN NO.
OWNER I YQ /'�li e re--0",)
DESIGNER ,,Q
USE /NATURE OF WORK U ,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR re i 7)'7 .77. '',"7 / `fe `j
g Heat A/C Vent __ -- Heat Loss --- Se/ ` BTU'S / /b Tr /� /G
❑ ❑ Fue / System
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. Permit Fee Paid $ a•. c"`fl Park Dedication $
ISSUED BY 4" !e - Date 4// Final /O.P. &
In the performance of th work I agree to perfor ork pursuant to rules governing the described construction.
i
SIGNATURE :s :Le Cd --�iGL ‘A/92-
A /OWNER
DATE
ADDRESS
TELEPHONE #
APPL DATE-414/ZS PERMIT NO. 4
ADDRESS 2 Y 1-4 erU`Q
OWNER po f e sL2 h
NATURE OF WORK 1/644" ? 5TR ✓ x
--
HEATING CONTRACTOR / G Al h 5✓ . i iO r1
FUEL: GAS OIL Ol SOLAR SOLID
CONDLTIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. VENT
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS Cjoi`f r SYSTEM BTU RATING t k�. jrjs7
MISC.
INSP. ROUGH IN FINAL 6'A/0—
EST. COST ii6 OG PERMIT FEES ' 2p CtQ DATE PD 4/.
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