HomeMy WebLinkAbout013981 - HVAC (Add AC) CIT OF OSH • SH N9 13981
PERMIT - AP - LICATIO ' ND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING
FLOOD PLAIN HEIGHT
ADDRESS 0 fit,
�,2 f e3c/4Z 7- 1 -eP Ol,G7 PLAN NO.
OWNER J Lit)/X Wf'irl e or
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DESIGNER
USE/NATURE OF WORK /La A-/i l ± ^
. 176,
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BUILDING CONTRACTOR
Size Sq. Ft. # "ooms
# Stories Height
Foundation Class of C n
b . Occupancy Permit
r____HEATING CONTRACTOR e-P.- a --'7-e . . In c�
Heat ❑ A/C Vent ❑ Fuel/System ' os r+ _ i
Heat - 'at L1 BTU'S j 14-
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type YP Volt- Amps
Fixtures Switches Rec-ptacles
Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft
CBasin
—Lay Sh DW DF
—San. Sewer
__WC FDr SP Ur
__Storm Sewer
Sink _LTub —Eject —SS
Other —Water
FEES: Valuation $ � a L 'J ct `F
Permit Fee P.:id $ ` v
/ L.__ Park Dedication $
ISSUED BY tab ,_'�,
Date � r �//
Final/O.P. Co"_ 30 '87
In the performance of this work I agree to perform all wor. pursuant to rules gjov:rning the described construction.
SIGNATURE /L ; %': ';'st; ''–I`
AGENT/OWNER
A,'*:/,5���!
ADDRESS
TELEPHONE#
PERMIT N0. / Orf/ APPL. DAtE7 ///�'�'/�
ADDRESS %�/� �`�'—
l _
OWNER e, , .
NATURE OF WORK -' 4,.. L.....
HEATING CONTRACTOR rz e ` _
FUEL: GAS OIL SOLAR A SOLID
CONDITIONING FORCED AIR H.W.
SYSTEM ELEC. BASE. STEAM
RADIANT SUPPL. '�/C VENT
CHIMNEY: "A' "B"
CALCULATED HEAT LOSS DIRECT VEN CON.BURliE
MISC.
tiCe t5 T' SYSTEM BTU RATING !! f
INSP. ROUGH IN
FINAL Agr,
EST. COST j/fie 0e' PERMIT FEES /o r `°) DATE PD
s REMARKS