HomeMy WebLinkAbout0045664-HVAC (a/c) CITY OF OSHKOSH N 45664
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG in ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 12 72. Hoc? 4 Lj PLAN NO.
OWNER CLIi - f / t ideI e,, / Dm /j Jri`/
DESIGNER / /
USE/NATURE OF WORK , Z1C /We--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (4 I.jdm-f Yr ita / tpv r'- ?
i — Heat ❑ NC gp Vent ❑ FueVSystem .mil ---1 Heat Loss ?' /`5 t BTU'S _R' 127 /7 /WG
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 $ Permit Fee Paid $ l8'. ftr9 Park Dedication $
ISSUED BY Date � `1679J ---- 'P FinaVO.P. c6-lq- Inn
5
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE N3 0 ‘A/95
NT /OWNER
ADDRESS
TELEPHONE 0
kir
3/5/7C PERMIT 110 . % ��
APP7. DATE
ADr ESS � /�_ 7 /14
OWNER` a1 p' LP/ /`aW0J1 /AD'? 4I/
NATURE OF WORK
HEATING CONTRACTOR ap 11% //
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. VENT STEAM
SYSTEM RADIANT SUPPL. ” /-C
CHIMNEY: "A" "8" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS P
yy 5 j` SYSTEM BTU RATING 4 0 h 7
MISC.
INSP. ROUGH IN FINAL $ / /WW
EST. COST j ia CI PERMIT FEES ,F. Gt7 DATE PD,j /"5
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