HomeMy WebLinkAbout0046186-HVAC (a/c) 5
411.) CITY OF OSHKOSH N ° - 46186
P ERMIT
APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS di 5 f'r e? r2 PLAN NO.
OWNER] ��< h
DESIGNER
USE /NATURE OF WORK 4
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Or C C,v e- i" t
f . Heat ❑ A/C fp Vent ❑ Fuel /System A i°i Heat Loss 4 - BTU'S / yi- n9`j
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 $ / ?l/`Z7 - &tee Permit Fee Paid $ Lam= Cam€ Park Dedication $
ISSUED BY Date 71�l /lr,� Final /O.P. 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i A
?`AT /9�
AGENT /OWNER DATE
ADDRESS gits'en
TELEPHONE #
APPL DATE
0` /95 PERMIT NO. 7�I0
ADDRESS ,1 Ye jAe h
` ?
OWNER � W
/ I .' O /T
NATURE OF WORK /7` G
HEATING CONTRACTOR /' e 11
FUEL: GAS OIL„ SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. VENT STEAM
SYSTEM RADIANT SUPPL. )M C
CHIMNEY: "A" "6" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS i'\ci `I` SYSTEM BTU RATING L t/ foh
MISC.
INSP. ROUGH IN FINAL
EST. COST PERMIT FEES 1rc c DATE PD
REMARKS
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