HomeMy WebLinkAbout0047263-HVAC CITY OF OSHKOSH N� 47263
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ( ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 31 9i/ 6 C 1/11 ' Id PLAN NO.
OWNER a.1.1C-17
DESIGNER
USE /NATURE OF WORK ff k A 4 Ai e ti. #49 ,„
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR U r` tw 4'
t . Heat A/C c& Vent ❑ Fuel /System N-a' Heat Loss BTU'S .3� �'l
4/" Yvn k!L
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 $ __/ - c--4-° Permit Fee Paid $ Y7 - c' Park Dedication $
ISSUED BY Date � /9 5 - Final/O.P. 1 - 3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE a.
AGEN /OWNER
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ADDRESS 4idh-
TELEPHONE #
APPI, DATE 7 47 PERMIT NO. / 7 )-G 3
ADDRESS 9J rr d h/i ' . e//
OWNER k LJ 5 ch
NATURE OF WORK C- i J, , / Iyf
HEATING CONTRACTOR /'' f („ L / , u i^
FUEL: Op OIL (ET SOLAR SOLID
CONDITIONING 'RCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.JC VENT
CHIMNEY: "A" "B "RECT VENT CON.BURNER
CALCULATED HEAT LOSS /" i, SYSTEM BTU RATING f�
MISC. _ _ gel< p - /[
INSP. ROUGH IN FINAL !f 3/yer
EST. COST Moe. 00 PERMIT FEES t7.. C DATE PD If I/s
REMARKS
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