HomeMy WebLinkAbout0009783-HVAC
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
09783
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
;;L& '/0 Ik hJ //''W //J
Ti~ 'RV5Ch
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
II ea'ft'n q
/
AI-e/..{/
I
66/7-7 e
,
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Const.
t I HEATING CONTRACTOR .lfl/J-e ricaif-? /1-19
'\ Heat f{J Ale 0 Vent 0 F"e"System iI~ 6-, Heat Loss it:r ~
BTU'S 1~ t:/-r"/-t?
- '"
~LECTRIC 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 _LTub _ Eject _SS _ Water
Other
FEES: Valuation $
ISSUED BY
/t,~~~o-o
~~--
Permit Fee Paid $
Date
/7~~1
~~ ?'!?
Park Dedication $
Final/O.P. 9.-;l 7-8'8
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~~-
"' .." NT/OWN~
//~Cj' '?It&{ /j~
041 g",?
DA E
.;2Ys- -j+::J~CJ
TELEPHONE #
ADDRESS
PERMIT NO. ";:;97$ 3 Am. DATE ir;If~J ,po;;'
ADDRESS j~ t) 1kn,1 ,/~kJ
O\lNER - -r; ~ R : / .-f(: h
,NATllRE ",WORK ~ =~j-t'n f N eU/. /Iotu -e.. .
HEATING CONTRACTOR ~ r l ~ M II-TrJ
'FUEL: @ OIL ELEC SOLAR . SOLID
COND ITlONING ';!ORcED AtR Il.W . El.EG. BASt STEAM..
SYSTEM GRAVITY SuPPLEMENTARY 'AIR CONDo
GIIIMNE~: . "A" &> DIRJlCT ~E"" CON. BIlRNtR .. ~
GM.G1JLATED HEAT WSS.fi;;. ~n SYSTEM BTU BATING ~ ob-o
MISC. '.'
INSP. ROUGR IN FINAL ~. ,
EST. cos1'lt;.lJtP. ~ PERMIT FEES } ,
REMARKS )
:=