HomeMy WebLinkAbout0005340-HVAC
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
05340
~~P_E~ _ _ ~L~~ _~ _ ~T? _ ~ ~~E~ _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
cJrc>t4 rq/
f) ~ e-k -en
ADDRESS
/757'
,
t$-~ f' Y'
/
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
IJ ~~~jii J1 !
Ale u./"
,
Ik;-n e.-
:?-F- Rc:)'
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTORJ G/7 Jnl/:S J~ n fI-l'?
. Heat ~A1C 0 Vent 0 Fuel/System )j~- Heat Loss JJ ~ ~
BTU'S ?9' t?t"z-t?
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS ~ Water
Other
FEES, Valuation $ ~~ .V'-e> Penn " Fee Paid $
ISSUED BY ,~ Date
1
#- 7,~1
o/jL/ #'7
Park Dedication $
Final/O.P. I:J. -10 -8'1
In the performance of this work I agree to perform all work purs
t to rules governing the described construction.
SIGNATURE
9/dLj/a
ATE
~3 s- -(pszq
TELEPHONE #
ADDRESS
PERMIT NO.*-:- ~5'"?~CJ
ADDRESS / 7 w t::J /' c /;41 /lei
DeckL 0
APPL. DATE
~/R'7
t.Fz:;rrv
. I
NATURE OF WORK
HEATING CONTRACTOR
FUEL: & OIL
CONDITIONING \jORCED AIR H.W. ELEC.
SYSTEM GRAVITY SUPPLEMENTARY
OWNER
e...
If-~ID
BASE STEAM
AiR CONDo
CHIMNEY: "A"
CALCULATED HEAT LOS
MISC.
INSP. ROUGH IN FINAL
EST. cosopJIf,l '1?^e? ~ERMIT FEES $ 7.
REMARKS ~
DIRECT VENT CON. BURNER
SYSTEM BTU RATING :?t:?~
"