HomeMy WebLinkAbout0018838-HVAC (a/c) /CITY OF OSHKOSH N° 18838 PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG Dip ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Q go/ / ie.- dash - Atv PLAN NO.
OWNER Pin/ /`d 7 O /77 - 240 9 uJ
DESIGNER
USE /NATURE OF WORK 1 19-1 c-- 1%s-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTORS
t Heat ❑ A/C ■'4' Vent
❑ Fuel /System Heat Lo � � r�S ✓ BTU'S � �'" *-`L
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 $ / Z`14 U`'I Permit Fee Paid $ 410 4`, Park Dedicati n $
ISSUED BY Date li/ 7 /QO Final /O.P. [ /
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE f&...] NCIa+✓�Cn� G Q' ?D
AGENT /OWNER /(� TE
ADDRESS
TELEPHONE #
APPL. DATE Z,� c?? PERMIT NO. /9r3 .?
ASSRESS ..9 D di2-7(c
OWNER Pail /(-1 O /17 a mo dus
NATURE OF WORK �c,
HEATING CONTRACTOR
FUEL: GAS OIL 4420 SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. `7A7C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS (-7-7-6(%;-,7- SYSTEM BTU RATING 5L 7z7-7
MISC.
INSP. ROUGH IN FINAL 7 / / /Fp
EST. COST , / - PERMIT FEES 9 !/-9 DATE PD /rfQe2
REMARKS / `