HomeMy WebLinkAbout0018544-HVAC /CITY OF OSHKOSH N°_ 18544
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG fp ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS j 31 0 Ha/'i2/9 PLAN NO.
OWNER Oar/'y 1•/' p e.,.J4 r . r' q" et& -
DESIGNER
USE /NATURE OF WORK fr' .1/ ,t1-P. III' ' Mm y
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR . - . -
/ T`a - - .i Y
Heat A/C ❑ V ❑ Fuel /System �. Heat Loss 0,469 BTU'S 7..r, eie-z,
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 $ Y6�� AV Permit Fee Paid $ '3 0 - l,0 r Park Dedication $
ISSUED BY Date 0� /9e Final /O.P. 7 / 2 Oa
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I / `/ p
AT /OWNER ��� /// �p�(TE
ADDRESS
TELEPHONE #
APPL DATE 0 //9 PERMIT NO. g J
ADDRESS J /'i,rig
OWNER _ r - j r
NATURE OF WORK � 9- ea ii`A, Ae L1/ 176 tiP ,
HEATING CONTRACTOR rend, M I / ,77 p Y � <.c-
FUEL OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A " ? DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ik jp SYSTEM BTU RATING ?� C3`C'`®
MISC.
INSP. ROUGH IN FINAL '7"'/9
EST. COST `f& PERMIT FEES e) DATE PD ,0- //90
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