HomeMy WebLinkAbout0031052-HVAC CITY OF OSHKOSH N° 31052
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG nt ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4" 6 ? o , / ' / J 7 0 PLAN NO.
OWNER p r/ik el"
DESIGNER //
USE /NATURE OF WORK j I' A-. ,U -e.Gi/ IV6vi -YL __
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (I ✓ r °e-w e-i" eat r A/C ❑ Vent ❑ Fuel /System A l- mot a - Heat Loss /7 BTU'S �5,z
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 �U� -� !yT9 a on $ Permit Fee Paid $ �/�• Park Dedication $
ISSUED BY Date q /g1 1- Final /O.P. //10 - 9d
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _4
0/72 4
. GENT /OWNER
ADDRESS K ar I* to #1(
TELEPHONE #
APPL. DATE 7/11921 PERMIT NO. ��
ADDRESS l,6 c 5/4 ercc;j4
OWNER Qr De&J e i
NATURE OF WORK /4)61 it6g4.4l /4.
HEATING CONTRACTOR jar ewer
FUEL: gglo OIL ELEC. SOLAR SOLID
CONDITIONINGORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "' DIRECT VENT CON. BURNER
CALCULATED HEAT LOSSI0.5 4r SYSTEM BTU RATING 7 T
MISC.
INSP. ROUGH IN FINAL /6//O/0-
EST. COST 00 -c' PERMIT FEES '7, ve- DATE P09/04/0'2-
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