HomeMy WebLinkAbout0028498-HVAC CITY OF OSHKOSH N°_ 28498
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [;83 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 o Koc-V i-' i2 / PLAN NO.
OWNER 5b Op k.tV
DESIGNER
USE /NATURE OF WORK ttw. E. cr /4-17 , Roo
f-1'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR rO'r C ii V
Heat IF A/C X. Vent rp Fuel /System A G. Heat Loss itk typ BTU'S , '& ' 94-
/0 7`,. & /VG-
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 $ 10 / )u) �e 419 Permit Fee Paid $ qA ,5 Park Dedication $
ISSUED BY VQ Date M/95- Final /O.P. ia '9a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE `� _ _ _ ,/4
�-
AGENT /OWNER � {/
DATE
ADDRESS �� y�� C9 /� U (,(J 4 1 e 79 — 6 96
TELEPHONE #
APPL DATE.., ��yq�
� �t+�.. ...... PERMIT NO.
ADDRESS m
a -
OWNER ,`, of
NATURE OF WORK p .t C ,
HEATING CONTRACTOR ON • p
B vv140
FUE L ' /419 OIL
Allip SOLAR SOLID
CONDITIONING ' ORCED MR H.W.
ELEC. BASE. STEAM
SYSTEM RADIANT
SUPPL. ir i
CHIMNEY: "A"
"8"
CALCULATED HEAT LOSS ;IRECT VENT CON. BURNER
MISC. SYSTEM BTU RATING
INSP. ROUGH IN !�.
EST. COST yp FINAL / Mr
- P FEES 2 9 Z
, DATE PD �'
REMARKS �G
{