HomeMy WebLinkAbout0017424-HVAC (new home) CITY OF OSHKOSH N°_ 17424
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG L7 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS__ L/ 1/ . / / r7,7l'A / * f"1 PLAN NO.
OWNER ( 'ert 7 R c ) .5— r --2
DESIGNER
USE /NATURE OF WORK I/ 7' / / /CIe,1J islO vr7
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR #1. e)^ ! ' Cri i, �,
Heat E 7 A/C ❑ Vent ❑ Fuel /System AL C` Heat Loss 197S / 7 /p BTU'S 751
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 $ of 9 Ja- 4.1.11) Permit Fee Paid $ 357 e i Park Dedication $
ISSUED BY -- Date 3 11 19 p Final /O.P. 3 ( -G7/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ` ,1
AGENT /OWNER DATE
ADDRESS //J /rne 7j,' Z:S APO l a
TELEPHONE #
APPL DATE V.0 PERMIT NO. 1 7 /
ADDRESS ,} ( .5 - ?V / a/i /G1 ! '/ ,
OWNER C1`eit e f '. V o- j"" (1�- tJ ; C 1
NATURE OF WORK -e f L� /be-w �Pi j'1
HEATING CONTRACTOR ,/77 e piYr 2/7 Ym
FUEL: O OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR N.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A!C VENT
CHIMNEY: "A " DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 4 5 - SYSTEM BTU RATING 7 F l'>° . e5)
MISC.
INSP. ROUGH IN FINAL 9 //,/Fj
EST. COST L9 5en, ci*z:, PERMIT FEES ~ /57 r/`' DATE PD V /,Ss
REMARKS
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