HomeMy WebLinkAbout0023111-HVAC (a/c) CITY OF OSHKOSH N2 23111
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG pp ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 P 1 10/ .t 5 . - re r /`4:2Q`!
PLAN NO.
OWNER ptic_haftd `!
DESIGNER
USE /NATURE OF WORK .� / Ai/
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
e r H E CONTRACTOR 2 i7gDi7 ) Z-[ / JP� I,/Z Heat ❑ A/C g Vent ❑ Fuel /System flieGY— Heat Loss ) BTU'SOja , 1371
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 $ r -IJYJ Permit Fee Paid $ A/- Oe Park Dedication
ISSUED BY ` 'G7' - 'I Date #1l�/4/ Final /O.P. ( - '7 - 9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE "'"'i N 6019/9/
AGENT /OWNER / DATE
ADDRESS
TELEPHONE #
APPL. DATE //? 4,4/ , PERMIT NO. d 2 Jf(
A N U S
OWNER PVC he'1 Li/
NATURE OF WORK
HEATING CONTRACTOR [-o`!d'a,p, fo f / / (002
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.
) VENT
CHIMNEY: "A" "B" DIRECT VENT
CALCULATED HEAT LOSS t 5 CON.BURNER
MISC. ��' SYSTEM BTU RATING d2v9
INSP. ROUGH IN FINAL 4/7/4
•
EST. COST /‘69 PERMIT FEES 2447.0 ` DATE PD r!/
REMARKS _ T
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