HomeMy WebLinkAbout0022619-HVAC CITY OF OSHKOSH N9 22619
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS O' '/ ?" )A r f' 4fl 5.1( " PLAN NO.
OWNER (t'G I^ y 13 '4 e ""
DESIGNER �j
USE /NATURE OF WORK r'' - ea fi' ,/V , M'-t -e—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0 r a /-ii /Y" Ca HA-7
Heat r A/C ❑ Vent ❑ Fuel /System /11°' Heat Loss 1 # BTU'S 7
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 - c-iz9 Permit Fee Paid $ l7• Park Dedication $
ISSUED BY Date 'i/ /`f / /
Final /O.P. 51F F /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 'j //1/q1
i AGENT /OWNER DATE
ADDRESS 1 i0 f-- 40 - /s :. - P- / . ,, 7 deAX
TELEPHONE #
APPL. DATE �i iyg� PERMIT
ADDRESS q ar /
OWNER �¢ •eG - 1"
NATURE OF WORK
HEATING CONTRACTOR 1; e4.4.1, ,
FUEL:} OIL ELEC.
SOLAR SOLID
CONDITIONING ' ORCED AIR H.W.
SYSTEM ELEC. BASE. STEAK
RADIANT SUPPL. A/C VENT
CHIMNEY: "
CALCULATED HEAT LOSS t.�' DIRECT VENT CON.BURNER
MISC. SYSTEM BTU RATING_7l�{j
•
INSP. ROUGH IN
EST. COST FINAL �.
J - PER:HIT FEES_DATE PD
REMARKS — � 4
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