HomeMy WebLinkAbout0023426-HVAC CITY OF OSHKOSH N° 23426
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG lyP ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / t O 5 S4 e /'` / i e 4 '`7 PLAN NO.
OWNER 6 D L"GK.e r
DESIGNER
USE /NATURE OF WORK ' -t ,, -e qf
! fit, 4IeIv Horn e-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR gi r L°LU e N
Heat A/C Vent Fuel/System stem /11 Heat O `YtO
`� ❑ ❑ y eat Los ,r ,� � /�p BTU'S
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
V
FEES: Valuation $ Pam GLe Permit Fee Paid $ / ‘4)--1, Park Dedication $
ISSUED BY Date j /.�� Final /O.P. 7 -.2y "9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE X16 - ..` ' . Q'
AGENT /OWNER DATE 1 .i
ADDRESS �� ,.._\ 7 - CiY� y
,,:pt_ c':
TELEPHONE # •
APPL . DATE O - PERMIT NO. 9
ADDRESS . s,A f+/�`r
OWNER Ciaty
NATURE OF WORK / k ;'k t — h Cyro t o
HEATING CONTRACTOR . ' j9J we , T/
FUEL: AS OIL ELEC. SOLAR SOLID
CONDITIONINGRCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "B" )CbIRECT VENT CON. BURNER
CALCULATED HEAT LOSS /�jp SYSTEM BTU RATING , O•fiep
MISC. ,
INS? . ROUGH IN FINAL /0/7/11
EST. COST rsw/� . Uc' PERMIT FEES R. er0 DATE PD /
REMARKS