HomeMy WebLinkAbout0009073-HVAC (a/c) CITY OF OSHKOSH No 09073
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ,II ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 W/0/-7,7 5r PLAN NO.
OWNER Jr.. 4( rho ff 114500
DESIGNER
USE /NATURE OF WORK 144)P -k-- 6: • (12e 5'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR re eiel — 'ekt i-n v /
f Heat ❑ A/C ..1 Vent ❑ Fuel /System ge 4 Loss .fr X %5V ----- BTU'S 401 7 ' h
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 $ /"v e'• ci-le)
Permit Fee Paid $ /0 �/ `a � Park Dedication $
ISSUED BY Date _24V-28 Final /O.P. 7 - 1, - 8 g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE / "'
AGENT /OWNER
ADDRESS
VD A Re- TTT���
TELEPHONE #
PERMIT NO. 0://lam-7,2
, APPL. DATE VA/0?
ADDRESS 2 f 5 / ,77' /, f 1 5'7
OWNER Jr' Aar k i $d �j
NATURE OF WORK 4140 1V _ /G
HEATING CONTRACTOR 7 ,&JG— Z
FUEL: GAS OIL 4i00 SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARYR COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS �`S SYSTEM BTU RATING Jb ,v
MISC.
INSP. ROUGH IN FINAL 7�G /(y
EST. COST/ -
REMARKS PERMIT FEES DA PD . 1p �' " P 2J57
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