HomeMy WebLinkAbout0009558-HVAC (a/c) CITY OF OSHKOSH No 09558
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 e ®vi 7`c /G /r Pie? /' -Q._ PLAN NO.
OWNER _ ," 1 ' /e_-/G/
DESIGNER
USE /NATURE OF WORK j 1 -k- + ' Ye-5
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 12) 4, 5 /'y /77
Heat ❑ A/C Vent ❑ Fuel/System /e.-c Heat Loss /= X/ S i7 BTU'S 4- ?
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 $ 7d7-�� 79 Permit Fee Paid / P
$ !�Z . Park Dedication $
ISSUED BY Date 7 /�riil , Final /O.P. k - a 3 - ,W
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE _/ _ -4 :------.4 // � • �
i AGENT /OWNER
DA E
ADDRESS
TELEPHONE #
i
PERMIT NO . Q 95 j l APPL. DATE 7�� -L/_
ADDRESS Ai do
OWNER Oe AWN
NATURE OF WORK /04 A
HEATING CONTRACTOR /
FUEL: GAS OIL
SOLAR SOLID
CONDITIONING FORCED AIR
SYSTEM H•W• ELEC. BASE STEAM
GRAVITY SUPPLEMENTARY
, IR COND.
CHIMNEY: "A" "B'
CALCULATED HEAT LOSS ! DIRECT VENT CON. BURNER
MISC. SYSTEM BTU RATING 7i,, ,_
INSP. ROUGH IN - "--�
EST. COS 'P� FINAL /,:
PERMIT FEES ✓
REMARKS L D . TE PD 7A g . .