HomeMy WebLinkAbout0015112-HVAC (a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
15112
TYPE:
BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
Illf~
f1-e~
/:f V /^61 f/J c::f ;
/I- ever
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
JJGlcI
JJ--je-
:5 f; Pe5
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const,.
HEATING CONTRACTOR Tr:.....e.--/a - .;Ze h /n er
Heat 0 NC ~ Vent 0 Fuel/System r;-/ vt! d- Heat Loss e-'f/~ 7
BTU'S
~ ~ /7:1/1
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject ~SS _ Water
Other
ISSUED BY
~
Permit Fee Paid $
Date
/
/ r: t?z:7. ,/
o/?y~
Park Dedication $
Final/O.P. q .~ c2/- fj9
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
qftJjd
AGENT/OWNER
ADDRESS
TELEPHONE #
PERMIT NO. I ~fl2-
J)tf,5 If{/r~n. ~~ -
fJ.a t H-<u ~ r
Mcll4! C--
HEATING CONTRACTOR ' -1 --- Z-
FUEL: GAS OIL ~
APPL. DATE
F!cfi. / Y7
/ /' ,.
ADDRESS
OWNER
NATURE OF WORK
SOLAR
SOLID
C0NDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ~IR CONDo
CHIMNEY: . "A" liB" DIRECT VENT CON. BURNER '
CALCULATED HEAT LOSS F\{Jr'f;r SYSTEM BTU RATING ,7-.Y?.. ~7
MISC.
INSP. ROUGH IN FINAL
EST. COST ( ~0z:1 . c;)e) PERMIT FEES
REMARKS