HomeMy WebLinkAbout0006126-HVAC CITY OF OSHKOSH N2 06126
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG V! ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 /5 Nom (-- /C PLAN NO.
OWNER - 50 J
DESIGNER
USE /NATURE OF WORK ft -ea) i) y /VV Ce' Ain Li
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR C.0/11017 77l 1 05 - B '/* ‘-- 1
V Heat gP A/C ❑ Vent ❑ Fuel /System / Heat Loss A5/2 BTU'S /-<-
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 $ _oil_ G Permit Fee Paid 9 U�
/�' $ , - Park Dedication $
ISSUED BY -(.� Date // /,/,r7 Final /O.P. .-8 48
wr In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE_L� 6O444.,
AGENT /OWNER D AT
ADDRESS
TELEPHONE #
PERMIT NO. 11 70(ii; APPL. DATE y / i7
ADDRESS �7./ /r /V,17 Rd
OWNER eg, /1 5 / Z 7-/n/e r-
NATURE OF WORK #- eQ7 /(`P u,l A9/72e_
HEATING CONTRACTOR
FUEL: AS ) OIL ELEC. SOLAR SOLID
CONDITIONING C$ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL A/C VENT
CHIMNEY: "A" "B" 76IRECT VENT CON.BURNER
CALCULATED HEAT LOSS _/ l' J p y� SYSTEM BTU RATING e;11.4
MISC.
INSP. ROUGH IN FINAL t4
EST. COST 7 g1< PERMIT FEES 2-9. app DATE PD�,f fr
REMARKS
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