HomeMy WebLinkAbout0012814-HVAC (furance & a/c) CITY OF OSHKOSH No 12814
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG IS42 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 7 (, Ht
11 ' , ecei \ h9 PLAN NO.
OWNER V CO r141/..y i/ l / 5---e k---- DESIGNER
/
USE /NATURE OF WORK w/ _ - i �C - ��i kt _. _/ /
�i . i„/ G— <P 17
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (2 Shr v ate C—
Hea A/C Vent ❑ Fuel /System /�I oss 6. Heat L �1F/ S T BTU'S OPi'-e 9�
'y /
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 $ /, O - C - "
Permit Fee Paid $ 7 Park Dedication $
ISSUED BY Date I / /17 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . ,. .`„ /Z / ` t / r 'y-
AGENT /OWNER DATE
-\.--g*‘ /-)
ADDRESS q t }- - 2- ? , o 47
V TELEPHONE #
PERMIT NO. / 57 APPL. DATE
ADDRESS / 7 „ 1 2 6 11/ h 5p2
OWNER /d tea/ / c $ 1 `' /�-
NATURE OF WORK /2Lp/aCG
HEATING CONTRACTOR 1 S5',o,, r
FUEL: OIL EC SOLAR SOLID
CONDITIONING RCED AIR H.W. ELEC. BASE STEAM
SYSTEM RAVITY SUPPLEMENTARY `CDR COND.
CHIMNEY: "A" "B" IRECT VENT CON. BURNER
CALCULATED HEAT LOSS e5 7- SYSTEM BTU RATING bc;
MISC. 09-- .T !7
INSP. ROUGH IN FINAL `' qpile EST. COST C PERMIT FEES �' , DATE PD
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