HomeMy WebLinkAbout0025738-HVAC (a/c) CITY OF OSHKOSH N°_ 25738
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG (D ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / Ab PLAN NO.
OWNER TQ nP X
DESIGNER
USE /NATURE OF WORK Oadei /V UL- ,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
F , HEATING CONTRACTOR fi ■i , i .__A? a G G
`
Heat ❑ A/C tr Vent ❑ Fuel /System Pie Heat Loss }e/ c5 ✓ BTU'S p yv!i
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 $ / 7i , "D Permit Fee Paid $ ,R2 < c) Park Dedication $
ISSUED BY Date /0/11/9/ Final /O.P. 11 I - 9 I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
'IL el, - \��a_r —Gar/ 1al/i/9/
AGENT /OWNER
ADDRESS k. N 3 S- (j % 6 c l
TELEPHONE #
APPL DATE &
._ PERMIT N0,�
ADDRESS Z 7 /e
� y fo O
OWNER Q d eil
NATURE OF WORK t 4 4 : / I�
HEATING CONTRACTOR '
FUEL: GAS S '� � " OILS i C
`E4 SOLAR SOLID
CONDITIONING FORCED AIR
SYSTEM H W ELEC. BASE.
RADIANT SUPPL. "A STEAM
CHIMNEY: "
CALCULATED HEAT LOSS "g" DIRECT VENT CON' BURNER
MISC. SYSTEM BTU
RATING_ �h
I ROUGH IN
EST. COST FINAL /f
REMARKS �"" -- P ERMIT FEES � � •
-�- =� DATE PD O
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