HomeMy WebLinkAbout0036174-HVAC CITY OF OSHKOSH N° 36174
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ►::' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4V:5
,5-.- &la t?p1/ a PLAN NO.
OWNER W ( . . ) 1 5 /ooTy DESIGNER
USE /NATURE OF WORK * V may-, A Ne L %rJ2 e---
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR t /`J.
j Heat p A/C ❑ Vent ❑ Fuel /System /V- a Heat Loss 43- 49 BTU'S S' - °
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 . ' c.--0 Permit Permit Fee Paid $ j' 7 J` Park Dedication $
ISSUED BY Date yft�f'99 Final /O.P. //-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e OWNS 9�f f/ -
.5-A eir0 ' AGENT /OWNER � / DATE
ADDRESS . AIP !t) - Ll t L t i as.,-.!......„ SYZ -440 '
5-46Y6 TELEPHONE #
•
--7 2
APPL. DATE /� 9,J _ PERMIT MO. 9 i 7y
ADDRESS .0 169(5 - /'X ii e rlya
OWNER iLif S YOU Pt?
NATURE OF WORK etthe.d. /5./ti e.e..
HEATING CONTRACTOR / Lj C,/t f . Al 'e .i
FUEL: 0 OIL ELEC. SOLAR SOLID
CONDITIONING CfORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" `DIRECT VENT
CON. BURNER
CALCULATED HEAT LOSS
t /5 7 SYSTEM BTU RATING )-�5 -% }/D
MISC. 6
INSP. ROUGH IN !/;10/9/
E ST. COST ' PERMIT FEES 7. c20 c DATE PD q ,
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