HomeMy WebLinkAbout0014803-HVAC (a/c) CITY OF OSHKOSH N9 14803
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG y ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / / V / tli h 1 2 5a>4' PLAN NO.
OWNER Tae, 1 ec-- / /J el
DESIGNER
USE /NATURE OF WORK , Z12 !T /G ✓ - P23
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR )/ J P %e-a vi I11- 4._ 7-
Heat ❑ A/C [ j Vent El Fuel /System � e c - - Heat Loss )6 I S ✓ BTU'S c i'
ELECTRIC CONTRACTOR T P U
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 $ / 9 "Ci. �`+® Permit Fee Paid $ / 61-'€) Park Dedication $
ISSUED BY Date 5 ;1. / 7/ 7 Final /O.P. 4` ,, 2/ -39
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .■ f(� 7 ✓D AT E
AGENT /OWNER V
4 . ADDRESS t iL � C� CL- 2-3 e99a
TELEPHONE #
PERMIT NO. / r f J APPL. DATE gN •
ADDRESS /7 /li 0/?
OWNER 76E / -fir_ 1 ,�f''
NATURE OF WORK kid 4/C-
HEATING CONTRACTOR n-, tvr y kj /44,
FUEL: GAS OIL LEC, SOL AR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. 5a/C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS X ., i T SYSTEM BTU RATING 7z7,7
MISC.
INSP. ROUGH IN FINAL 5,P li " 7
EST. COST / ) PERMIT FEES
�. DATE PD /O'
REMARKS
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