HomeMy WebLinkAbout0020349- HVAC (A/C) CITY OF OSHKOSH N° 20349
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG V ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS g709 ,4 • G r k �v PLAN NO.
OWNER / 1/1 0 c_i 1, l v G/'_
DESIGNER
USE/NATURE OF WORK /Odd 41-/- .F P&.),5-
i BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
,. Foundation Class of Const. Occupancy Permit
4 ' D / �G
' HEATING CONTRACTOR U 'e-5 /e $y L "
Heat ❑ A/C g Vent ❑ Fuel/System eG r Heat Loss 4.--y/5-7 BTU'S
11 re, Al
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
f el'- Park Dedication $
FEES: Valuation $ ! J��-�� Permit Fee Paid $ �O � a
ISSUED BY Date 9/ld/� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AGENT/OWNER DATE
ADDRESS TELEPHONE#
ADDitE:.,S V2 CWNER
LD ADDRESS ,_;?/çL5AL.1.71-/-
DATE TYPE 'NATURE OF WORK OWNER CONTRACTOR VALUATION
- o fi2a0.)
1-9 7 0_ c----aw) •, „LE"
-_;ve `7),„) • 7tot. q
-
11:-/ )j2( I . e ,
49-0
• ..--y.-r. ./ /J, 7
• •
. .
APPL. DATE PERMIT ��
ADDRESS
C , L -
OWNER / /
NATURE OF WORK .. 1
HEATING CONTRACTOR -` ' SOLID
FUEL: GAS OIL
SO
ELEC. BASE. STEAM
CONDITIONING FORCED AIR H.W. VENT
SYSTEM
RADIANT SUPPL. KA C
CHIMNEY: A
"B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS= X-il5-
SYSTEM BTU RATING 2 6J
MI S C. FINAL q�
INSP. ROUGH IN DATE PD ;/�L
EST. COST l 'iia •c `PERMIT FEES
REMARKS