HomeMy WebLinkAbout0013077-HVAC CITY OF OSHKOSH N2 13077
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG g ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ) Z 5 K. .0e ` /L`I'` iT d PLAN NO.
OWNER r/01p y ( - ,/1 / ^ p
DESIGNER D /"
USE /NATURE OF WORK jkV 6 G . i72 r e PP�6� / Si 06
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
r z._
HEATING CONTRACTOR f u f 7 f% f ' /4 "/" r 'V Selig f
Heat vp A/C Vent [� Fuel /System d O Heat Loss 9f 40/7 BTU'S/5t
91 J /Q /2-1, V ‘/ ibh ,j //, q- , 7vh 6
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lax/ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other /
FEES: Valuation $ 6 /. 61 Permit Fee Paid $ 97 / y ` -719 a Park Dedication $
ISSUED BY r" Date .0 (' Final /O.P. S /F9
In the performance of this work II agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - ilfe s 7 lv ,,v7 'R. Mrs � /NC. ,� an r
AGENT /OWNER
ADDRESS iQ P/ 7 ('4" liter /- , 4/f 23 7- X37/
TELEPHONE #
PERMIT NO. ) 3 a 7 7 APPL. DATE //).
ADDRESS 000 j kp e //et,' LR C
OWNER (1O 2 5 , g , ems- ( !7 .
NATURE OF WORK ' V A , r /
HEATING CONTRACTOR /9- U q U �'- (.(y
FUEL: OIL / �ET,II�/ SOLAR SOLID
CONDITIONING 4ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY II �GAIR COND.
CHIMNEY: "A" "B" CAI RECT VENT CON. BURNER
CALCULATED HEAT LOSS ,4 )(Ap SYSTEM BTU RATING /0,52; re
MISC. /'" �'/��i�r' b<q aa./� 9F
INSP . ROUGH IN FINAL j $ ��
EEST. COST ., 5ZG7 a� 'E FEES 37 17
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RKS P114 s b p / / /m /y /