HomeMy WebLinkAbout0008503-HVAC (a/c) CITY OF OSHKOSH N ° 08503
PERMIT - APPLICATION AND RECORD
TYPE: BLDG El HTG" ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ` / / 1-1/ /7 /7 e S G9 /67 PLAN NO.
OWNER d Ci f' >o
DESIGNER
USE /NATURE OF WORK A--, / I / �- "
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
t HEATING CONTRACTOR n a l In v S3 C h 1 S /4- 77 . i- N- /C._ � Heat ❑ A/C ent ❑ Fuel /System ,E)e - Heat Loss �x<sV BTU'S t_e '7 % K
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
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FEES: Valuation $ / 6 Permit Fee Paid $ /[.i e Park Dedication $
ISSUED BYPAi Date //rff Final /O.P. '27/0 -8"g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE NNdki\CJ� ---. c b/A e
AGENT /OWNER DA
5
V Ck ‘ C - z 3 s -4 st,
ADDRESS C��� \
TELEPHONE #
PERMIT NO. 77y,5 3 APPL. DATE 6/ 7P"P
ADDRESS / .972 -e sD 1
OWNER ICI 147 e s (J-' G h Y
NATURE OF WORK 4-d,0 /c
HEATING CONTRACTOR get 5 n /5f e h S
FUEL GAS OIL a'- SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY •7‘1R / 3R COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS r 7 SYSTEM BTU RATING 7
MISC.
INSP. ROUGH IN FINAL j,/
EST COST l' ` ��PERMIT FEES /6 r bjDf{TE PD
REMARKS