HomeMy WebLinkAbout0023897-HVAC (a/c) CITY OF OSHKOSH N° 23897
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ® ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 ytc "4 /hP PLAN NO
OWNER ✓ re vim" Ca r / 1 4
DESIGNER Q
USE /NATURE OF WORK /k�-"i /74 ,5 IP-es'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
r HEATING CONTRACTOR �U S r-fri # eO - ', 7. �/
Heat ❑ A/C Vent ❑ Fuel /System gl-e G� Heat Loss I% A ✓ �r- /f BTU'S - re 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 $ 1 Z.,0 �•
o. O Permit Fee Paid $ ■4 O`O Park Dedication $
ISSUED BY Date `//ig /9/ Final /O.P. 7 —/ <--- '
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE j p� ��f / AGENT /OWNER
ADDRESS �ei Ke .._15 7,7
TELEPHONE #
APPL . DATE G /i8 /Q/ PERMIT NO . 3 YY 7
ADDRESS ; ,7 l t
OWNER " Ce7f i
NATURE OF WORK
HEATING CONTRACTOR G 5 rn P
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. ` /C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNE
CALCULATED HEAT LOSS 5-10!(5 j`- SYSTEM BTU RATING ¢ 1 7
MISC.
INSP. ROUGH IN FINAL //VA%
EST. COST /S4O„ CJ�rJ PERMIT FEES al, DATE PD4/4/5
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