HomeMy WebLinkAbout0044942-HVAC (a/c)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
6~
N~ 44942
~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ ~~E~ _ E? _ ~~B~ _ E? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
0t?6'O ~n 'f-~r'5" plLZL e
flv5C/h
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
Jtctc/ W c.-
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR Q f1 'e-U/ e. r II ~
---!L ~ /c::..
e Heat 0 AlC iI9 Vent 0 Fuel/System ~ ;y-
Heat Loss;=:- Y; I ~ i
BTU'S ~)~ 0
~ ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_FOr
_LTub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_WC
_Ur
_ San. Sewer
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
FEES: Valuation $ /I~ "'~
ISSUED BY ~ ~
Park Dedication $
Final/O.P. 1.3/ '/..5
SIGNATURE
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
~ ciJ. ~ ,~;/9r
AGENT/OWNER DATE
lrr
TELEPHONE #
ADDRESS
APPT~ DATE .~11:;/ 95' PERMIT MO. l/~ 1&/7-
ADDRESS '?t'?"O J!-VI17---er$ ilIac e
OWNER flu 9 C {,
N TURE OF I-lORK
OIL
SOLAR
SOLID
FIlEL: GAS
CONDITIONING
SYSTEH
FORCED AI,R
RADIANT
H.W.
SUPPL.
ELEC. BASE.
C VE
STEAM
CHIMNEY: "A"
CALCULATED HEAT LOSS
MISC.
INSP. ROUGH IN
EST. COST lItH! '" o-d
REMARKS
"B" DIRECT VENT CON. BURNER
n(/'i J SYSTEM BTU RATING ~ /l::?n
- '