HomeMy WebLinkAbout0025922-HVAC CITY OF OSHKOSH N° 25922
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /A 57 o 5h '+° rIda i, PLAN NO.
OWNER C U rte 55 G��'m e
DESIGNER
USE /NATURE OF WORK /' ,V." 'i /V ea,- 1/9 47 t,°
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 03 r to ci z e ' JF J 7 1—
i Heat [A A/C ❑ Vent ❑ Fuel /System Ai— G Heat Loss Ap BTU'S 7✓� Oz`'
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 $ 0 -et Permit Fee Paid $ 15 �‘ 1719 c ' V Park Dedication $
ISSUED BY Date l0�d'ti�lg1 Final /O.P. `/ - 75 -- F ..
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE "
lb.. -.X _ /��� /c��
1 AGENT /OWNER f
�nn �� r DATE
ADDRESS 41 !v -"��s, 1 \ Ifi 'j ^� 4/ ' ' � ' V
v TELEPHONE #
APPL DATE �� /f4��`l/ PERMIT NO.
ADDRESS / 4 eriek i
OWNER n 7- "), s
NATURE OF WORK . ii v G / 4,0 ...
HEATING CONTRACTOR ar g-g
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. VENT
STEAM
SYSTEM RADIANT SUPPL. A/C
CHIMNEY: "A" "B" YbIRECT VENT CON.BURNER
CALCULATED HEAT LOSS p SYSTEM BTU RATING 7 5 0770
MISC.
INSP . ROUGH IN FINAL I/ // a/re-'
EST. COST 0 . 1 - 4 937- v'O PERMIT FEES 3 5 ere DATE PD 1p /
REMARKS