HomeMy WebLinkAbout0005701-HVAC (a/c) CITY OF OSHKOSH N2 05701
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG c ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ! O1 /Q /2W PLAN NO.
OWNER Rah9A 120 Pl e
DESIGNER
USE /NATURE OF WORK .1_/ d , / F .i/
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR_re'e j — Ze1/5 .el-�
Heat ❑ A/C Vent ❑ Fuel /System / '
Heat Loss/ s�i/r f BTU'S 1 4 `j
a
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles p 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 $ / ae`e 5' • 40"-e) Permit Fee Paid $ / O_ ��
Park Dedication $
ISSUED BY Date /O /�f"/ R
7 Final /O.P. /2' " 9 47
In the performance of t ' work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / 7 l
AGENT /OWNER /�/ E i/
DA
ADDRESS
TELEPHONE #
PERMIT N0. CI) 7 APPL. DATE /WVfj 7
ADDRESS //O Z He r f e4A d
OWNER j lr f'I i U The
L°
NATURE OF WORK ti f
HEATING CONTRACTOR -re a - 7 -e «7
FUEL: GAS OIL COOP SOLAR SOLID
CONDITIONINRCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY 'R COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING /.7.01
MISC.
INSP. ROUGH IN FINAL J q/ 7
EST. COST 1. G1�ERMIT FEES /G, r �`G DdTE PD /p /���f 7
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