Loading...
HomeMy WebLinkAbout0012551-HVAC ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 12551 TYPE: BLDG 0 HTG r)? ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HElpHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /9&' .J.If'ckt'J'f J )-.&/1 e- . I . ;1q ~~ UJ / i 01 /.( <t:, / /'f! /1 blf" J l' e ," PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK H e?q/icf IJ--l ~~ , , I~ /Ii ~ (.'1/ W 1J? -'L- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height . Occupancy Permit Foundation Class of Const. ~EATING CONTRACTOR('&!>;,?~n 7-(7 'hI (; Ji'N16/ r==- L-:- Heat~ NC ~ Vent 0 Fuel/System j/.(;, Heat Loss .fI-t--ptp BTU'S/~~ r.;:-//c;~ .;-/ Jl71? 9 Y. h::Y j'J Il-J c. 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 / I~ FEES: Valuation $ ,I f ;; 10t:fJ. (J-t) Permit Fee Paid $ / t? 0' ,. C/"CJ ISSUED BY ~Ct e -- Date ~}///t- / ;>J Park Dedication $ Final/O.P. S' B - 8Cf In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~-e-. . U - ''<~NT/OWNER ~lltJ ?:1 DAfE ADDRESS TELEPHONE # PERMIT NO. -4-/ oJ. 5" F / APPL. DATE / C/ /~/ tft? ADDRESS I r~,. #/Ckd /' Y 10 h e- / ' OWNE~ 1i4fhf~/,'t / J<!__-e / leu ber~C'P- / / NhTURE OF WORK '1le~if-r'~ A/~r--./ffi~r:- HEATING CONTRACTOR C;~~~~/'[;r!7pJ~,2:Ztr/&/'Y- ):hC- F~L: @ OIL ev SOLAR SOLID CONDITIONING (!QRCED,AIR H.W. ,ELEC. BASe;, STEAM SYSTEM GRAVITY SUPPLEMENTARY ~R CONDo CHIMNEY: "A" RECT VENT CON. BURNER CALCULATED HEAT LOSS ...<: SYSTEM BTU RATING /t'!:f,.tW'9'-!fd"~ , . ../ MISC. c- INSP. ROUGH IN FINAL EST . COST ~r tfPtJ. V"O PERMtt FEES it? . d'O DATE PD . REMARKS /