HomeMy WebLinkAbout0044615-HVAC (furnace & a/c) 4) CITY OF OSHKOSH N ° - 44615
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ? ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ! ✓ 7 / if/7 h L? 5a ✓ ' PLAN NO
OWNER •r / / II kl/1R 4!
DESIGNER
USE /NATURE OF WORK 124/4 GL° / 'fr i c 9 - ,4 / �� % e ' A..--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR / e-P <1 `
Heat I7 A/C y Vent ❑ Fuel /System Al . 6- Heat Loss G t ioi 5r BTU'S 1 e' 6)
e r .- 7,- We
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
1
FEES: Valuation $ ,Z _ve Permit O, G�
ermit Fee Paid $ �1- Park Dedication $
ISSUED BY Date 0/
,j Final/O.P. q - 07 t- ( 140
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .X 0/1/91--
AGENT /OWNER
ADDRESS /727 Z3,� -iv Yet
TELEPHONE #
APPL DA `' 9 PERMIT
ADDRESS I /
OWNER a. ' vI
NATURE OF WORK A< f Ace- R./lei/ace ' /101
HEATING CONTRACTOR
FUEL: cOP OIL SOLAR SOLID
ORCED AIR H.W. ELEC. BASE. STEAM
CONDITIONING
•
SYSTEM RADIANT SUPPL. 3`' A � 1
CHIMNEY:
"A S YSTEM BTU RATING " "B" � � 4DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS �`3�` '?
MISC. 4 12 1Z
INSP. ROUGH IN FINAL 1 0 %/ 0'
EST. COST PERMIT FEES y4- ' DATE PDT
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