HomeMy WebLinkAbout0020236-HVAC CITY OF OSHKOSH N° 20236
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG V ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS --5 h . f Q PLAN NO.
OWNER a ,'r y 0 e- —k e / L � G7'
DESIGNER
USE /NATURE OF WORK 4 / - /77 `e-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR . i.. A' 1 A' 1 v . / G
t Heat Sp A/C ❑ Vent ❑ Fuel /System N4- Heat
•
Loss 5 4 BTU'S 7 r; aeoLe,
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT — WH Disp WSoft
CBasin
Lay _. Sh _ DW _ DF San. Sewer
WC — FDr SP Ur Storm Sewer
_Sink _ LTub Eject SS
Water
Other
FEES: Valuation $ 2 / Permit Fee Paid $ 3O • cs'°
Park Dedication $
ISSUED BY Date QD
Final /O.P. /d °dcv — 70
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE {•4V./ N G/v∎J Q� `d�1
`° T � /OWNER (// // 7 v
� r � DATTTE££
ADDRESS
TELEPHONE #
APPL. DATE 7/i4 PERMIT NO. .l31..7-. 5 c
ADDRESS 4P , C4 - e f^ y GL'a,--7 S)
OWNER Dec4 j^
NATURE OF WORK 4 y - e -!/ g9115
HEATING CONTRACTOR 0 i ) a _r i
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING 'ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ' P SYSTEM BTU RATING 7f
M/SC. r i
INSP . ROUGH IN FINAL 0,4/116%4F EST. COST '/ j '. c) PERMIT FEES - 7 DATE PD T / /pp
REMARKS
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