HomeMy WebLinkAbout0007787-HVAC (boilers) CITY OF OSHKOSH N2 07787
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG c ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS l . 5 3". AID 12 ri o L° PLAN NO.
OWNER 7 e/vet 5 it i /" 7171 -G SS 7° -
DESIGNER /
USE /NATURE OF WORK 02/a1- 39 6 / er/'7 Ce4 ,,,,�'1 /
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ` Occupancy Permit
HEATING CONTRACTOR J_ J P f'� • •
t ......, _ Heat A/C ❑ Vent ❑ Fuel /System -O Heat Loss ) Loss Ay / p BTU'S /f fffo
ELECTRIC CONTRACTOR
Electric Serv. New El 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 $ 1 9" 3o OW Permit Fee Paid $ .2 . Park Dedication
ISSUED BY Date '0 Vey Final /O.P. :25 B8
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE /tom i/ � // AGENT /OWNER
ADDRESS / ) M4'I/(/ 1,. ///!/A/ r o ACA, r_ L// I ,5 9P0
TELEPHONE #
PERMIT NO. Q 7 7 2 APPL . DATE `f p- r/
ADDRESS )
OWNER Ir f'Idl/a VJ1 h tSS �°S
NATURE OF ' WORK G Apj /e.
HEATING CONTRACTOR A!( /7 f' c i 1
FUEL: OIL ELEC SOLAR SOLID
CONDITIONING FORCED AIR .W. ELEC. BASE STEAM
SYSTEM GRAVITY S AIR COND.
CHIMNEY: ' "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING /,W /ep
MISC. /
INSP. ROUGH IN FINAL �J� /fi
EST. COST ,. g to PERMIT FEES a 3, f/`fl DATE PD . /erf
REMARKS I