HomeMy WebLinkAbout0041647-HVAC (a/c) CITY OF OSHKOSH N2 41647
PERMIT -- APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 O 54 erYedo f PLAN NO.
OWNER G c c k �� L �2 5 P 4f
DESIGNER
USE /NATURE OF WORK 11 4 #"/C--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR bar` tp J
, Heat ❑ A/C l■;' Vent ❑ Fuel /System / s � . Heat Loss W ST BTU'S IV h
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 $ �f� . ( - A O Permit Fee / t. d
ee Paid $ Park Dedication $
ISSUED BY Date 9// p * , Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7//0
9
AGENT /OWNER / DA
ADDRESS
TELEPHONE #
APPL DATE PERMIT 110. '' /G';
ADDRESS 4,14/5(e7 j" /,01,,A 9‘h
OWNER [ x /ck 4Tmac°`1 seh
NATURE OF WORK A6 2
HEA ±ING CONTRACTOR • i
FUEL: GAS OIL EC? SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.' VENT
CHIMNEY: "A" DIRECT VENT
CALCULATED HEAT LOSS ` , t CON.BURNER
MISC. �" SYSTEM BTU RATING )1,/7
INSP. ROUGH IN FINAL Ol ,ilyy
EST. COST_ /iggL p2f� PERMIT FEES / o`D DATE PD9 /lr,Vgy
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