HomeMy WebLinkAbout0022277-HVAC
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
22277
TYPE: BLDG D HTG EtP ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
/71%
~ber v-t/-
j}t/ n f-.e r Gi/-eP7
(Yu ~ t~
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK tf r'Fl-1-/rLf
AI <eU./ ~ n7.e?-
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
<1l HEATING CONTRACTOR fTm e f" II cO -<-1 fl-l'tf
C-- Heat ~ AlC D Vent D Fuel/System /J-4
Heat Loss f}.e; ~j7
BTU'S /tJ7P, ~./
~ '3~~iflc-
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps----,-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_Lav
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_BT
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
~Sink
Other
_ Eject
_SS
_ Water
FEES, Valuation $ ~ Pe'm" Fee Paid $ -7'.::;-: P-e> y'
ISSUED BY Date /):;. ~ q /
Park Dedication $
Final/O.P. '-:;2 ~ I 2 --~1 J
,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE;:;;::: ~ """mow,,,
ADDRESS //.;29 #/JrI~ .f,L,
;j~t9/
ATE
(~r-'?c19o
TELEPHONE #
APPL. DA.TE' 9b~k~ PERMIT liO. J-:J.7- 7 7
, , ,.. v
AlDUS'SL~~~ /71ff ,~( fJ tt~ ~L!s. 't:'6-/;~~:~~--
(J--rv6e I' y- cy-- R v ~ e-:A ,:-
otVNER
NATURE OF WORK JJ-~4+,'n7 ;f/~-f./ ~rue.-
HEATING CO,NTRACTOR 4~;;-du.. #-~
FUEL: @ OIL EC. SOLAR
CONDITIONING RCED AIR H. W . ELEC.
SYSTEM RADIANT SUPPL. Ale
SOLID
BASE.
VENT
STEAM
CHIMNEY: "A"
CALCULATED HEAT LOSS
MISC.
INSP. ROUGH' IN
EST. COST.If ~ . P'-C)
REMARKS
FINAL
PERMIT FEES 6/6 ' P'(::/