HomeMy WebLinkAbout0019386- HVAC (A/C) CITY OF OSHKOSH N2 19386
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS D a iV JQr4 PLAN NO.
OWNER I e e_ Pa yn/72 C1 /?i3
DESIGNER
USE/NATURE OF WORK Ade, /511C---- f & ,5--
BUILDING
CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
I
6 HEATING CONTRACTOR < .d ' h77
CHeat ❑ A/C p Vent ❑ Fuel/System eCr- Heat Loss x/ ST BTU'S z 7-1,17
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change E Temp El 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 $ /y >,- c-I-{� Permit Fee Paid $ /9: 4"41531 Park Dedication $
ISSUED BY ���� Date 7//9/1- ' Final/O.P. 7 - -t
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ��x *e_et...1-.��' 7f?.1 9 .
AGENT4 D
ADDRESS I cZ 1 4 ..i z4$ ( 4q 644441.4-0_ '--1•7`- )A_
TELEPHONE#
� a ZONE
o
ADDRESS a O r3 .- ,G2A '��
OLD ADDRESS �2(Q/ - .i
DATE TYPE NATURE OF WORK OWNER CONTRACTOR VALUATION
.G vrz--a 1 /oo o-t'
Jtia-jilt±1(24
7(,) ,ILth,V 1•nf (.(�f i?.� ,G[1lIL441_11 *j J
P2 4)4. 016t<ZaS2
�O�
1 �rnrta�+ ���
APPL. DATE .7/P1/4/.P1/4 PERMIT NO. /G �:i " 7
ADDRESS__ ? 7_:-; /V . A?9" —
OWNER 1-Q2 0a /lima/in
NATURE OF WORK 4d ly-k�-
HEATING CONTRACTOR fd S /1- ! -it'/t? 2 ,5-1, )
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. /C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS ;if'. 7- SYSTEM BTU RATING i/7
MISC.
INSP. ROUGH IN FINAL 0 /5
EST. COST /VG5 f . GA '2 PERMIT FEES / 9,c7 DATE PD '/j74p
REMARKS