HomeMy WebLinkAbout0044878-HVAC (a/c) ,5
CITY OF OSHKOSH
N2 44878
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG (y ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS . 3i t, hell- `, id PLAN NO.
OWNER tjGI N 4/ Pe 4 r ,{
DESIGNER
USE/NATURE OF WORK iaCkf H li
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR W 5 / Y L
T HgatE NC )Vent ❑ Fuel /System " /ie° Heat Loss J O1 ' 5 T BTU'S /A/15. h
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 $ � w � T/'r' • G Permit Fee Paid $ 0 � Park Dedication $
ISSUED BY �-�" [! Date .Orii.5 Final /O.P. 5/2/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
4
SIGNATURE i'� .t_ .6 x /s "
NT/OWNER DATE
ADDRESS
TELEPHONE #
APPL DATE V PERMIT Nt0. y` SAf
AbDRESS 3/ 0 ? vie III/ lci j) i -
OWNER 84(,)/ l" e41161
NATURE OF WORK 0/C-
HEATING CONTRACTOR /6/,625'Le
FUEL: GAS OIL LE SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. /C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS L SYSTEM BTU RATING j ii�Jb
MISC.
INSP. ROUGH IN FINAL W7/y5"' �,/
EST. COST_ � �
PERMIT FEES �ere DATE PD ��s"
REMARKS
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