HomeMy WebLinkAbout0019861-HVAC (furnace & a/c) CITY OF OSHKOSH N° 19861
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG OY ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 5t 1 3 O / 1O422(e PLAN NO.
OWNER Fr rd S Ll t r /
DESIGNER
USE /NATURE OF WORK _e..... e-- _ _,,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
I HEATING CONTRACTOR 1 ���' 4 "16/ �itir� 7--
Heat vp A/C Vent ❑ Fuel /System / Heat Loss J) ( �i ✓ BTU'S i .6
s w C____
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 $ A7 COY Permit Fee 6 e`e
ee Paid $ may' Park Dedication $
ISSUED BY Date T6 /lam /9 � Final /O.P. /n- /(p- 2'O
In the performance of this work I agree to p rform all work pursuant to rules governing the described construction.
SIGNATURE v-` = r I >
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AGENT /OWNER A TE
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ADDRESS ., G \ ' 3 -. 6 6
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TELEPHONE #
APPL . DATE �/7 / 9e PERMIT NO .
ADDRESS .onte. o
OWNER
NATURE OF WORK 12%r'- - V
HEATING CONTRACTOR 7
�191v-• f
FUEL: O IL EC SOLAR
SOLID
CONDITIONING ORCED AIR H.W.
SYSTEM L _ ELEC BASE STEAM
RADIANT SUPPL. •: C VENT
CHIHIMNEY : "A" "A" CMNEY: HEAT LOSS 'eV DIRECT VENT CON. BURNER
s ��„// SYSTEM BTU RATING Ay MISC.
INSP. ROUGH IN FINAL y N /�l
EST. COST _ C ' p� PE RMIT FEES r t
REMARKS DATE PD
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