HomeMy WebLinkAbout0042413-HVAC (furnace & a/c) CITY OF OSHKOSH N9 42413
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9i 7 / ler pph hel PLAN NO.
OWNER ! •r ` k cep!lU
DESIGNER
USE /NATURE OF WORK JJ f2 /CJG f ,G pvi 9-14421 Ole--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
q_4_,,,-- HEATING CONTRACTOR 164 OWJ 55 / i r 1)(- cir— #1C--
Heat tp A/C V) Vent ❑ Fuel /System NZ— Heat Loss BTU'S 490
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 $ "4-J`101:7 Permit Fee Paid $ ly` aw
Park Dedication $ n J
ISSUED BY Date / ® /4 /`Qy Final /O.P. g'I/ J ,/
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l� CJ--6L ~~ i0 / 3/ /r,
q C AGENT /OWNER L
\ \ <:\r"19 (l , OATE
ADDRESS !J \�( /' /�, 0 k q
TELEP NE #
//O PERMIT INO.��
APPL DATEL
ADDRESS OPe 0
OWNER /` rl e / /
NATURE OF WORK A _ . i
HEATING CONTRACTOR (47 %i ' ice , 4-
FUEL: ® OIL A irtalk SOLAR SOLID
CONDITIONING I ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.
�� " "B" ;IRECT VENT CON.BURNER
CHIMNEY: A SYSTEM BTU RATING ? W`�
J d
CALCULATED HEAT LOSS i.5'117 1G `�� �® �
I SP. FINAL tf i // <
INSP. ROUGH IN
EST. COST '8'G,! - "O PERMIT FEES 10j r Ch9 DATE PD_ $ `
REMARKS
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