HomeMy WebLinkAbout0022929-HVAC
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
22929
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
J70'0' j-fG1l1rer'5" u-/~n
FY'tf" It fi:- V Cl ra- 12 /&;
I
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK H=-lI,f.1-y I)J~U/
!/e.rn e-
~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
.# HEATING CONTRACTOR H c; If.
'L. Heat ~ AlC [6 Vent D Fuel/System NO;
Heat Loss. 175 ~p
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
l0~~
AGENT/OWNER
1f}~/9/
ATE
ADDRESS
eocatl S\)~S~""\<7-.. W \ l\:JN E:.c:.-<;)~~'E.
,
582_- 4\"\()"L
TELEPHONE #
APPJ. DATE ~/I:r/<fjl PERMIT NO. jJ-.;Z9~/
ADDRESS 17 'f(,g' HUl7 fc-rs Cle~?h
OWNER FYa nit- ller f"apko
NATURE OF HORK tftl:~ A1/U/ /len7e-
HEAT! NG CONTRACTOR ~. t:. ~
FUEL: ELEC. SOLAR SOLID
H.W.
SUPPL.
ELEC. BASE. STEAM
C VENT
CHIMNEY: "A" I I DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS~ ,)tal? SYSTEM BTU RATING ~
MI SC. "/"1' YJ
INSP. ROUGH IN
EST. COST -I/1J'M - C/'C? PERMIT DATE PO
REMARKS