HomeMy WebLinkAbout0009663-HVAC (a/c) � CITY OF OSHKOSH No 09663
`' PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN - HEIGHT
ADDRESS ,/ �D !�- � /� �1..li <G�"'/� �t� 'e— PLAN NO.
OWNER V�-� l�O �I ��O ! ! G S�/ ,
DESIGNER
USE/NATURE OF W(�RK P7`'l� � �i � l-�'
BUILDING CONl"RACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR G � /�
Heat ❑ A/C �Vent ❑ Fuel/System Heat Los
�� � BTU'S � �O�'i
ELECTRIC CONTRACTOR
Electric S�erv. 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�� Permit Fee Paid $ ��� �� Park Dedication $
ISSUED BY �� � Date Final/O.P. k ��S ��
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
� n r,� � i.
SIGNATU w``��"�
AGENT/OWNER TE
ADDRESS � \ � �� �-� �l� ���
� TELEPHONE#
PERMIT N0. �Q C/�� � APPL. DATE /��
ADDRESS �Q ���_w �Q��
OWNE R � �O 1 �('J `� �
�—�NATiJRE OF WORK �
HEATING CONTRACTOR �Ce 5`��U 5 S�1�S lY-,�
FUEL: GAS OIL ELEC SOLAR SOLID
6
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY R COND.
CHII�IldEY: "A" "B" DIRECT .VENT CON. BURNER
CALCULATED HEAT LOSS �l��5-'7' SYSTEM BTU RATING��j_v, .
MISC.
INSP. ROUGH IN FINAL $
EST. COST=.,C���—�MIT FEES / � TE PD
REMARKS
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