HomeMy WebLinkAbout0031118-HVAC (a/c) CITY OF OSHKOSH N°_ 31118
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG pi ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 9a < ./ 4 h PLAN NO.
OWNER ,i e r e 3-' G---/a.5 n4 Ac)
DESIGNER
USE /NATURE OF WORK iga, /2'CG 5"�
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ' # M '[ / �- - / `)L/7
He
at ❑ A/C Fp Vent ❑ Fuel /System V €� Heat Loss JC I 7 BTU'S 7 ) t.4,1- 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 $, ` k�. C' Permit Fee Paid $ I' 7 tie' tie' Park Dedication $
camv �
ISSUED BY Date / / / /l Final /O.P. // `3 . 9G
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / On/92-
AG ENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL . DATE 71/1//9 2i PERMIT NO. gill?
?
ADDRESS / 90 9
OWNER NI fit e=9,0 CL /GS 4�p
NATURE OF WORK 0/ 4-1c-
HEATING CONTRACTOR
FUEL: GAS OIL �EI SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. y/C VENT
CHIMNEY: "A" „ B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS ,i;i 1 5 SYSTEM BTU RATING 0 9 )bri
MISC.
INSP. ROUGH IN FINAL 14/V9�.
EST. COST `Ef'Gkp , I-4% PERMIT FEES # cry DATE PD Lo /// j�
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