HomeMy WebLinkAbout0009049-HVAC CITY OF OSHKOSH N2 09049
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG A ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS o 7 Po / ` o/21 C/ ,,, s ).--' PLAN NO.
OWNER 60P 5a /Z- zr Cie
r
DESIGNER
USE /NATURE OF WORK # ea '1 /lee?, /bn/e-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR CO /ze;61- 7 Cp "12"4,` 1 74- hC--•
Heat y] A/C ❑ Vent ❑ Fuel /System /CMG Heat Loss 4, /2,/, BTU'S 7� e -e
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 $ , /C (J`'6 Permit Fee Paid $ / y r/e Park Dedication $
ISSUED BY____________ Date 7/°/ /e Final /O.P. 9-.2 7 --3 i
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 12 (i) "` "A �-
AGENT/OWNER /p� ��
ADDRESS
TELEPHONE #
PERMIT NO. 6-0,2, 7 APPL. DATE V /7 /I f
ADDRESS 2 7 9,7 / 147C lol P4, -e_-
OWNER gat /` 5 Z et `l•,o
NATURE OF ' WORK I-1 e.,46:7 * ems gam
HEATING CONTRACTOR - Toga / C ill AA f-
FUEL: de OIL ELEC SOLAR SOLID
CONDITIONING'PORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: IiAii t9 DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS /95' +p SYSTEM BTU RATING 74 --c
MI SC.
INSP. ROUGH IN FINAL 9/ 7 /gr
EST. COST g 2�f�e�p c PERMIT FEES :2"--/. C DATE PD 0/1/ /i"g"
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