HomeMy WebLinkAbout0009781-HVAC CITY OF OSHKOSH N 2 09781
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG pg ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS , 15 1.1e /-7 ✓ C✓ /d //^G° PLAN NO.
OWNER (J - L i er 7- RI/ Se-12
DESIGNER II ,[
USE /NATURE OF WORK j�r eLZ l i'r q � e Ge/ Art - 7/-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ' Occupancy Permit
tu, HEATING CONTRACTOR 19 - {'1'1 Z°_ r /e '? 0 6
Heat A/C ❑ Vent El / Fuel /System r . /^ Heat Loss n jiff BTU'S 75 `e"-e9
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
/
�y
FEES: Valuation $ /,'"..re Permit Fee Paid $ / 119 Park Dedication $
ISSUED BY \�► � t . Date I4l /Ff' Final /O.P. / ' 21 --
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 7 s 4 /
,� AGENT /OWNER D ' TE A
g929 r
ADDRESS b�/f e•2.3L
TE LEPHONE #
Or 9'7�/
PERMIT NO. D APPL. DATE "r/6//P,Cr
ADDRESS 4 0 ,1 r// /1eps ci /, PA c-e_
OWNER r/ . j" 7 (2,y SGA
NATURE OF ' WORK /,`✓ - ea `✓ /P7 /// >47 �
HEATING CONTRACTOR 4yy� loN6r� `i?
FUEL: OIL ELEC SOLAR SOLID
CONDITIONING ykORCED AIR H.W. ELEC. BASE STEAM
SYSTEM `GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: "A" 0 DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS App SYSTEM BTU RATING
MISC.
INSP . ROUGH IN FINAL Jf�7 j��
EST. COST¢ / ' 2,. �p PERMIT FEES /?. eAp BATE PD $Aj/8-
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