HomeMy WebLinkAbout0044189-HVACN°- 44189
CITY OF OSHKOSH D
PERMIT -APPLICATION AND RECOR
TYPE: BLDG ^ HTG [~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~ ~'d v`im` `~ e ~ PLAN NO.
OWNER ~ ~ ~~G~~ SS
DESIGNER
USE/NATURE OF WORK~I~ ~ G • ~ 1~ L°Gt/ ~O'!'h `Q--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ~/ c'S LP y `T~'/~1
Heat [~ A/C ^ Vent ^ Fuel/System ~~ ~' Heat Loss BTU'S ~~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_BT _WH
Lav _ Sh
- WC _ FDr
-Sink - LTub
Other
- Disp - WSoft _ CBasin
- DW _ DF -San. Sewer
- SP - Ur -Storm Sewer
-Eject - SS -Water
FEES: Valuation $ G~ ~ `~ Permit Fee Paid $ ~~` ~~~ Park Dedication $
ISSUED BY Date ~~~~/~~^ FinaUO.P.
In the performancethis work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATU
t
AGENT/OWNER
ADDRESS
DATE
TELEPHONE M
1 PERMIT ft0 . r/
APPL DATE~.,~
ADDRESS ~ ~ ~ ~O` u S~
OWNER ~c.. -P ~G~l ~~ SS
gAlVI~G vc
HEATING CONTRACTOR i~~,s'~ i c°?i ~7`'~
FUEL: ~'AS/ OIL ELEC. SOLAR SOLID
CONDITIONING RCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A
INSP. ROUGHr~ IN r i"^" ~/
EST. COST ~3~ •~ ~ PERMIT FEES t,CB'-~ DATE PD
REMARKS
CHIMNEY • "A' "B" S,GbIRECT VENT ~:ua . avnr•on
CALCULATED NEAT LOSS ~ SG~`S~ SYSTEM BTU RATINGY'~""~~~_