HomeMy WebLinkAbout0042557-HVAC (a/c) JW
CITY OF OSHKOSH
N 42557
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 9 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / I I" Nowtiee PLAN NO.
OWNER ha cue et 5 tf Cc' S trrn /4171 tes
DESIGNER
USE/NATURE OF WORK igeial o/c--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ( /°t L` L(J e i" 17-
f Heat ❑ A/C [ Vent ❑ Fuel /System .e��e G-� Heat Loss £i l5 T BTU'S 0" /7 Ilk--
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 $ / � • • Permit Fee Paid $ l7 , - Park Dedication $
/ p C�
ISSUED BY l /r / Q Date � g Final /O.P. // o '
In the performance of this work I agre: to perform all work pursuant to rules governing the described construction.
/4 # e
SIGNATURE \ . .Au � ` ' f /
AGENT /OWNER �� /_ Alt
ADDRESS /
TELEPHONE #
APPL DATE i/ 1 1 / PERMIT NO. 4 4 2 5f 7
ADDRESS ,fi mete
OWNER 5/ wcGLt f 7 i.).i kr!'j'!eS
NATURE OF WORK
HEATING CONTRACTOR Fre GLJ! /''
FUEL: GAS OIL 40B'► SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. C VENT
CHIMNEY: "A" "8" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS 4 SYSTEM BTU RATING 1100
MISC. „2-- ?`ah
INSP. ROUgli FINAL J<
EST. COST i O -0`a PERMIT FEES 'eV DATE PD I
REMARKS
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