HomeMy WebLinkAbout0043969-HVAC (furnace & a/c) CITY OF OSHKOSH N9 43969
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG i;' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 5 IOw et. 5 PLAN NO.
OWNER K a ' ii 1 1(-
DESIGNER /�
USE/NATURE OF WORK J i QGZ? Fa ��3�dor / #/C..--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0 rU 9r if
Heat t& A/C SA) Vent ❑ Fuel /System N-6- Heat Loss 4-
1/ 5'7 BTU'S 1 e
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 $ L/G`D`o -' Permit Fee Paid $ SC Oe Park Dedication $
ISSUED BY Date 1Ji'L ' 5 Final /O.P. ) " 2y --95
In the performance of this work I gree to perform all work pursuant to rules governing the described construction.
SIGNATURE, , •yH
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPT, DATE PERMIT NO. 1", 767
ADDRESS 703 f Pep G(// /` S
OWNER Kg r_ iq 11 v14 4-
NATURE OF WORK Aida c 6- kN!1 c . v-) d #k -
HEATING HEATING CONTRACTOR 1! N v &k S° j' y
FUEL: G657) OIL 60:1) SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. Y[C VENT
CHIMNEY: "A" "B" /DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS t' y ep f ]- SYSTEM BTU RATING y� 4/0"e
MISC. 4— / e j- el e,
INSP. ROUGH IN FINAL 7/ft q// s"
EST. COST Cr POZP . cep PERMIT FEES 1 5 5 : IJ DATE PD 3 `/` qr
REMARKS
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