HomeMy WebLinkAbout0036026-HVAC CITY OF OSHKOSH
N9 36026
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ■74 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a ` & / / i ii✓ i6
C /f (J''` °- Pia PLAN NO.
OWNER g22 Y R il$e--17
DESIGNER A/
USE /NATURE OF WORK <T• Y 4 - /i you e-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
i HEATING CONTRACTOR ei`,eGve/ PP
Heat p A/C ❑ Vent ❑ Fuel /System Aka Heat Loss /h Ake BTU'S 5'
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH _ Disp ' WSoft CBasin
_Lax/ Sh DW _ DF _ San. Sewer
WC _ FDr _ SP _ Ur Storm Sewer
Sink LTub Eject — SS Water
Other
FEES: Valuation $ • u ` 0 Permit Fee Paid $ .. ti` t/ Park Dedication $
ISSUED BY Date 9/ /9,5 Final /O.P. /N3 - 23
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0°Ad 9: 3 NT /OWNER �f p / [�
ADDRESS f 7 d 6 / 9
TELEPHONE #
APPL. DATE 41 1`1'3 _ PERMIT NO. '310,
ADDRESS4 /'on "cl2ir
OWNER i -/ e t
NATURE OF WORK lvyr Alw_ct. /`In -t-e
HEATING CONTRACTOR 131 w e4A
FUEL: ® OIL ELEC. SOLAR SOLID
CONDITIONING >4ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" SO DIRECT VENT CON .BURNER
CALCULATED HEAT LOSS /3./ ,, SYSTEM BTU RATING .4
MISC.
INSP . ROUGH IN FINAL ifyi J4J
EST. COST a . c— PERMIT FEES r 0.0 DATE PD (f1 /
REMARKS
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