HomeMy WebLinkAbout0027229-HVAC (furnace & a/c) CITY OF OSHKOSH N9 27229
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 gte HO/ h e se /e' PLAN NO.
OWNER ■4 /Wie
DESIGNER �-- �-
USE /NATURE OF WORK /2/J2 1 ' CC f/1 de.- -e s / ��//JJ�� L / 4/G__ Si—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR We., ley GT
Ed Heat A/C ITO Vent ❑ Fuel/System At 6 Heat Loss ) /`ST BTU'S Jihd rlio`c'
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 $ 7 9 ' - Gcio Permit Fee Paid $ L/ y` 49Z9 v
d Park Dedication $
� ISSUED BY � - Date "1/ 7/9L Final /O.P. '1/" 1 — i a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE N7 /4
AGEN /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 5 77 f APPL. DATE 2 /l /9,z-
ADDRESS 1 T/ ' , 2
OWNER pa ` 1a lK -e
NATURE OF WORK p % iace _i/rho t.e 7 /kV /c-
HEATING CONTRACTOR Cu ���ii.ESG' - je
FUEL: OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ,.15IR COND.
CHIMNEiY: "A" "B" ° DIRE CT VENT CON. BURNER
CALCULATED HEAT LOSS 1c,t5 r SYSTEM BTU RATING d
MISC. / ?- *r7
INSP : ROUGH IN FINAL 1 - 1 //fl
EST. COST glow. c i-r, PERMIT FEES Hy erto DATE PD /47 /r12
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