HomeMy WebLinkAbout0015251-HVAC CITY OF OSHKOSH N2 15251
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG N ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 ' 3/e ) /Y'//t. /7IJC PLAN NO.
OWNER Da/ bac,✓ // /L 9
DESIGNER ,[
USE /NATURE OF WORK a / in•4 /I c..e.„, 140 c� - /r
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Te- ---k 7 e't 1 M L ri /1 /
Heat 'F1, A/C Vent 111 Fuel /System Al a_ Heat Loss 7% ,h 1 .op BTU'S 7J/�, G 'G
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 $ / G`' t C Permit Fee Paid $ 5 c G` Park Dedication $
ISSUED BY Date 07/er, Final /O.P. 1/ . - 3 '
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE h j _ / / --■. OVA? AGENT /OWNER T
ADDRESS
TELEPHONE #
PERMIT N0. )5:791 APPL. DATE 441/
ADDRESS / 3! � / /Ore /4/sel )
OWNER Don 9aceihei-L7
NATURE OF WORK /1 ed/ fi f /140.../ I NL s-n e- -f /c
HEATING CONTRACTOR 7 / / )741a7,7,4,/
FUEL: 4010 OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. NIG//C VENT
CHIMNEY: "A" ' " DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS f ta,/ SYSTEM BTU RATING
MISC. . / 2 tZ"7
INSP. ROUGH IN FINAL l4/ ail t
EST. COST l "c . LY PERMIT FEES ';W: cl, DATE PD 0
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