HomeMy WebLinkAbout0009780-HVAC CITY OF OSHKOSH N o 09780
L PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ��1 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ) 291 4,1/Gh,y PLAN NO.
OWNER -- et rr V Wt) 5 GJ/
DESIGNER
USE /NATURE OF WORK Eed `/1 y Al t,, /4tYl e
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ' Occupancy Permit
i t_______
HEATING CONTRACTOR e it /'C4`i 7 1-41 -
-7
Heat t A/C ❑ Vent ❑ Fuel /System / La` Heat Loss A-1 Arp BTU'S /
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /fr fr 4 Up Permit Fee Paid $ / 9 . O`-& V Park Dedication $
ISSUED BY blei - Date g / /h/$"er Final /O.P. Gi, � ?;
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE y V
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G NT /OWNER /ATE
ADDRESS f 4*1 S -4 g o
TELEPHONE #
PERMIT NO. 0 97 0 APPL. DATE 3//11 p,
ADDRESS A4/ 17 4I p4, ,
OWNER ( z c-17
NATURE OF WORK / ea•1` %di C' /I/e 4,77 e
HEATING CONTRACTOR 4- zr, 'ca 15, ,
FUEL:c OIL ELEC SOLAR SOLID
CONDITIONINdORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: "A" d ig DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS Apip SYSTEM BTU RATING !� `7 .
MI %'
INSP . ROUGH IN FINAL 1 � / /dr
EST. COST le 9, cif, PERMIT FEES /' 9 D TE PD 3f / /,g
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