HomeMy WebLinkAbout0040086-HVAC (a/c)o~
CITY OF OSHKOSH N°- 40086
PERMIT -~ APPLI ATION AND RECORD
C
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~~ 3G -~ C L-~ -t' /'So v! ~/ PLAN NO.
OWNER (~ d~/ildu p/li /~/ID.~'
DESIGNER
USE/NATURE OF WORK ~Z G ~~
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~~ / /'l S T- ,~ 4 ~
Heat ^ A/C ~7 Vent ^ Fuel/System G'~ ~'-~~ Heat Loss ~~/ ~T BTU'S l ~ ~ ~~i ~L-
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
- BT _ WH
Lav _ Sh
- WC _ FDr
- Sink _ LTub
Other
- Disp
- DW
SP
-Eject
Volts Amps
Circuits
- WSoft
DF
Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ ~ ~~~ ~ r'`~ Permit Fee Paid $ ~ 7-- G`fl Park Dedication $
ISSUED BY Date `~G~f Final/O.P. ~• ~Y • ~_T
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE /''~~ ~ CO ~, ~/
~ AGENT/OWN n pq~
ADDRESS _ / / / T (`/dpi C~~ ~~ •
TELEPHONE ~
APP?. DA'1'E~~ ~ PERMIT I10. ~~~o
ADl-R~~~ to
NA'lH~RF AF WORK ~~ i5~'l ~~
HEATING CONTRACTOR 'C~ !h 5/. ~ /Cc / as ~
FUEL: GAS OIL EC SOLAR SOLID
CONDITIONING FORCED AIR H.4i. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.
CHIMNEY: "A' 'B' DIRECT KENT CON. BURN ~R~, ~~
CALCULATED HEAT LOSS Gs~~`sJ`" SYSTEM BTU RATING I %~
MISC.
INSP. ROUGH IN FINAL / 4
EST. COST ~«Q . dp PERMIT FEES /7- ~ DATE PD 4 ~L' g
REMARKS