HomeMy WebLinkAbout0031068-HVAC CITY OF OSHKOSH N2 31068
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG In ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS "
` r U aUM. v PLAN NO.
OWNER W V y coif-5 2
DESIGNER
USE /NATURE OF WORK try` ""`G Hem e.
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0 e u/ er ki
Heat V] A/C ❑ Vent ❑ Fuel /System 44 G- Heat Loss .9i 1 7 , , BTU'S 7 3;0 00
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 $ i^f/PO- M Permit Fee Paid $ ,A5-0 C14e9 Park Dedication
ISSUED BY Date g /Pa / Final /O.P. "7/!'�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
) 01
SIGNATURE
GENT /OWNER DATE
ADDRESS A: p orn igei' (7 y9 y
TELEPHONE #
APPL. DATE 7/9 /C7- PERMIT NO. /O?y
ADDRESS y '
OWNER 6 , 4
NATURE OF WORK / j. k1 C.
HEATING CONTRACTOR I r Lt.4 - #1
FUEL: OIL ELEC. SOLAR
SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE
SI`STEM RADIANT STEAM
SUPPL. A/C VENT
CHIMNEY: "A" "° DIRECT VENT
CALCULATED HEAT LOSS / CON.BURNER
LC. --' SYSTEM BTU RATING 7
INSP. ROUGH
�,�'IN FINAL 4 /0'9
EST. COST__(�e'` l C O PERMIT FEES a�"'`C2p DATE PD 9,121/.
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