HomeMy WebLinkAbout0012658-HVAC CITY OF OSHKOSH
N2 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ril ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /` N 3 0 5A ert PLAN NO.
OWNER ( La ii y Y ex----'K `/v' q -
DESIGNER
USE /NATURE OF WORK /4-&( i i ,U (,(i /11 L-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
2 1..,___ HEATING CONTRACTOR (O ! IQ / (70 in(10 pr _
Heat to NC ❑ Vent ❑ Fuel /System ^/ a Heat Loss p BTU'S 75i Of `0
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 $ 2- yp- .5 L Permit Fee Paid $ '3e - Park Dedication $
ISSUED BY Date y ///J Final /O.P. / /7�r /'7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE rX0 CNM�'1M 1/ /9les
AG WNER A TE /
ADDRESS
TELEPHONE #
PERMIT NO. APPL. DATE / /1 r0
ADDRESS »/ ' i erf e►'ai
OWNER C5 r 1 y D c-k e
NATURE OF WORK G/ 1 A/e 119 it
HEATING CONTRACTOR Co 04h •' / C4 PL 4/" r ilex—
FUEL :diggie OIL ELEC SOLAR SOLID
,CONDITIONING )ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: "A" 'B DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ,k f'p SYSTEM BTU RATING 752-'0
MISC.
INSP. ROUGH IN FINAL •
EST. COST p ,� , "JPERMIT FEES /Q. A) ATE PD !' 9 8'9
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