HomeMy WebLinkAbout0013975-HVAC (a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13975
TYPE: BLDG D HTG t,zr ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
(7tJ! tI/ck&f/
lIerb NC!/je
r ~ ,
7"1 .
PLAN NO.
ADDRESS
DESIGNER
MeI
,
If! c-
~
7-1: (J2 es
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Con st..
Height
Occupancy Permit
Foundation
Heat D AlC ~ Vent D Fuel/System
If)
h
HEATING CONTRACTOR
~
Loss
~'fj ,,~ T
, .
BTU'S
?-. ~ YJ
ELECTRIC CONTRACTOR
...
Electric Servo
New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _5S _ Water.
Other
FEES, Valuation $ ~ ~ Permit Fee Paid $
ISSUED BY ~ Date
/
cJ-e9 v'
~ ?jRY'
Park Dedication $
Final/O.P. (D - c9~89
SIGNATURE
&/dl d r;y
AGENT/OWNER
ADDRESS
TELEPHONE #
. ADDRESS
OWNER
NATURE OF WORK
FUEL: GAS
OIL
I
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ~R coNn.
CHIMNEY: "A" "B" DIltECTVENT CON.BURNER
CALCULATED HEAT LOSS ;;;::-'lJll~ V-SYSTEM BTU RATtNGP. "'f<7/;J
MISC.
INSP. ROUGH IN FINAL
EST. COST / J--Ot!?~ ve; PERMIT FEES )7.
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