HomeMy WebLinkAbout010572 - Heating (AC) CITY OF OSHKOSH N2 10572
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG tp ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ' / i7/ 1 OC� 7 VI° `"�'�a`� PLAN NO.
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OWNER r e y <✓ ' y ' /I,S- /" foni
DESIGNER
USE/NATURE OF WORK /42-dd 4/c-- . F' (
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation — Class of Const. Occupancy Permit
HEATING CONTRACTOR T-P-�.A -- 7 e 62712 e tom
f_______
Heat ❑ A/C FVent ❑ Fuel/System a ec ✓ Heat Loss it j BTU'S Ay
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ // -e
• 6277 `Permit Fee Paid $ / ' '2 Park Dedication $
ISSUED BY T.7' . ( Date 9/ /et=1 Final/O.P. /0 -02(D S
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /1/ /34-�� r� ,
AGENT/OWNER D E
ADDRESS
TELEPHONE#
PERMIT NO. /0 3-72- APPL. DATE .9314-/P
ADDRESS 17/3 /■7Gryt17 O
OWNER / hey
NATURE OF WORK 719C/c/
HEATING CONTRACTOR T, `""
FUEL: GAS OIL LEC SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ,I COND,
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
C LCULATED HEAT LOSS z` SYSTEM BTU RATING 7�J
INSP. ROUGH IN FINAL �r G
EST. COST / / - lPERMIT FEES //, CA& ATE PD
REMARKS ,�