HomeMy WebLinkAbout0030004-HVAC (a/c) CITY OF OSHKOSH N°_ 30004
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0-67,5 /1/h a -ilvek.
PLAN NO.
OWNER 5 teve )3 0 1 r
DESIGNER
USE /NATURE OF WORK Ii24- 4_ _
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ea ` Z d e l P 7 T O , ' . . / t J L ' ` `Yi n-c-
Heat ❑ A/C ❑ Vent ❑ Fuel /System L= /z °14- Heat Loss 4 t 0' T BTU'S /i 1:lae_-
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 $ if Q . . &'Z' Permit Fee Paid $ F/ '"V Park Dedication $
ISSUED BY Date e73/1,- Final /O.P. f/4
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE CY7'N-1142-la S"
AGENT /OWNER f ��
ATE
ADDRESS
TELEPHONE #
APPL. DATE 6/674 z PERMIT NO. 3a-r, y
ADDRESS )- 575 , h ery
OWNER 5 7`e v e? go A c'
NATURE OF WORK 'add /17-1c--'
HEATING CONTRACTOR epk; 410.7r2-k c-
FUEL: GAS OIL CrirP 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 tr' p 7 SYSTEM BTU RATING
MISC.
INSP. ROUGH IN FINAL el/if/TO-
E ST. COST /!30 r Gip PERMIT FEES'? /. CAP DATE PD W5700,
REMARKS
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