HomeMy WebLinkAbout0018380-HVAC (furnace & a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18380
TYPE: BLDG 0 HTG []> ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
75c:7~
rd
If-v f'7 ~ /7 S' /1' /
IVe/5""CJh
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK R~ /0 c e- /.::'vrn OCt/2 -r-lJcJcI /J---It!"--
'9-F;: ~~
-
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
. Foundation
Class of Const.
HEATING CONTRACTOR U..-l.ef /"'7 ~
Heat '@ AlC &3 Vent 0 Fuel/System Ai ~a
.-
Heat Loss E: r t/ r r
BTU'S ~c, ~
0/- /:0 h:P/7 /9,~
{
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
ISSUED BY
7!}O-CJ. d-6
~
V
Permit Fee Paid $ ij"'~?/7:7
Date !~J ~/ '9 t7
Park Dedication $
Final/O.P. (P - dB -1 /)
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~/ q;-zt:::zut
f AGENT/OWNER
if 9;/ 9c?
DATE
ADDRESS
TELEPHONE #
APPL DATE th Yt:? e/ PERMIT 110.
ADD~ESS 80;;' jL(,;/fr1/Y /"7 ~f '
EC/ AI~)-)CJ 1/7
, ,.
ItJ?O
.
OWNER
FUEL:
SOLID
NATURE OF WORK
CONDITIONING
SYSTEM
H.W.
SUPPL.
ELEC. BASE.
C
STEAM
CHIMNEY: "A" "B" YOIRECTVENT CON. BURNER
CALCULATED HEAT LOSS E?'i:JIS'V SYSTEM BTU RATING
MISC.
INSP. ROUGH IN FINAL
EST. COST '7 jO-t!J ~ L..-'--C' PERMIT FEES DATE. PD l:?
REMARKS /