HomeMy WebLinkAbout0043016-HVAC 67"
CITY OF OSHKOSH N° 43016
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ''3 '/ G 5 P e-r PLAN NO.
OWNER G { $7 f ea /_'O1 ,4
DESIGNER
USE/NATURE OF WORK 7v$tll 3®1 1.0..r
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
- HEATING CONTRACTOR k v NT Je l2 Th e r ' So Al
i .._ Heat fp A/C ❑ Vent ❑ Fuel /System /i - G• Heat Loss / Pp, BTU'S /ae S7. c
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 $ --C/ C2Z:%' Permit Fee Paid $ 65- ' 119 Park Dedication $
ISSUED BY Date ///9 5 '` 5' Final /O.P. (,t 12Z / T'
In the performance / o f this work I agree to perform all work pursuant to rules governing the described construction.
RO //)` / /� q Q t� SIGNATURE �' / /
AGENT/OWNER DATE
ADDRESS t ' D/le 5 7_ ? 3c- /3 yes
TELEPHONE #
APPL DATE.-.44/-2.1ff PERMIT NO. 1 7 1 .. 4 V‘
ADDRESS 3 l k5if, - i
OWNER re ►'114 COW
NATURE OF WORK 1,4110a4/ / /f/ tCr
HEATING CONTRACTOR Kph 7 Z it h e'
FUEL: AS OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE.CStEAM
SYSTEM RADIANT SUPPL. A/C - VENT
CHIMNEY: 67 "B" DIRECT VENT CON.BURNER
CILCULATED HEAT LOSS 4.5 pp SYSTEM BTU RATING la y.
INSP. ROUGH IN FINAL efiOA yS
EST. COST (t c G'U PERMIT FEES/' V DATE PD J?0 QS'
REMARKS
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