HomeMy WebLinkAbout0041250-HVAC CITY OF OSHKOSH N2 41250
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 0 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS IV 8 A1° // r® L° PLAN NO.
OWNER J AOLUCa5 /19!'l7 /.
DESIGNER ��11
USE /NATURE OF WORK k/- / G. /1/ ILI/1 s✓
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 6 PA e (-v e /"
C - - Heat T A/C ❑ Vent ❑ Fuel /System AL -e- Heat Loss /5" / /P BTU'S 5 CleA
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 $ 13■ Permit Fee Paid $ 33 • ` -).1 " 7 Park Dedication $
ISSUED BY Date IVA 3/ 5' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . WNE - f s/p. �9
/ A ENT /OWNER DATE
ADDRESS .ifill
TELEPHONE #
APPL DATE "IA/i PERMIT NO. y/,,7
ADDRESS J J%' i,''Be 5,?'''
L
OWNER <V /(�!! e CU ill 14,0Zi° 5
NATURE OF WORK iiJ._/5-,G, de 1 , )5161476R
HEATING CONTRACTOR La c./ $,
FUEL: o OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A[C VENT
CHIMNEY: "A" "B" ?IRECT VENT CON.BURNER
CALCULATED HEAT LOSS /45 Acl f' p SYSTEM BTU RATING Pr se9
MISC.
INSP. ROUGH IN FINAL 194/%
EST. COST A 2}"../p . r rp PERMIT FEES 3 '.G'p DATE PD f /`9"
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