HomeMy WebLinkAbout0031067-HVAC n CITY OF OSHKOSH N2 31067
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG VI ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS t M Cv a! PLAN NO.
OWNER II Uji 4 za"?;--
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 13 r 4-[ i ()I I I+ ' l
t Heat A/C ❑ Vent ❑ Fuel /System /V - Heat Loss r BTU'S 7SAr
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 $ "OM* 4-2 Permit Fee Paid $ " Y Park Dedication $
ISSUED BY 1 z� 6 -- � Date q/ /9 Final /O.P. .'3/ -9a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 46 �� 4
AGENT /OWNER 0,,,,_
E
ADDRESS igfin NJ %/
TELEPHONE #
APPL DATE -. 1 2- PERMIT NO. qi 4 , 6 7
ADDRESS Aso/ (' LW/2l1 Ali,P
OWNER fieehr.. %.7-- f U 4- e‘p
NATURE OF WORK h
HEATING CONTRACTOR gH L°C (J L°!^ 15
FUEL: a" OIL ELEC.. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. AFC VENT
CHIMNEY: "A" Cj DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS )25 1 SYSTEM BTU RATING 7fo r,e2
tit SC.
INSP. ROUGH IN FINAL ./,/9 //
EST_ COST Peer.. 00 PERMIT FEES p✓''. cr 7 DATE PD 9/Y010
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