Loading...
HomeMy WebLinkAbout0020348-HVAC_CITY OF OSHKOSH N° 20348 PERMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ~- ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~ D ~ct / /~/• ~/ f7 ~~ PLAN NO. OWNER ~ !'t ~~ ~~-~' DESIGNER USE/NATURE OF WORK ~. ~/: ~--~ ~~/• ~ /~~lyz~ BUILDING CONTRACTOR Size Sq. Ft Foundation HEATING CONTRACTOR Ll/ ~T/,~ Heat ~ A/C ^ Vent ^ Fuel/System ELECTRIC CONTRACTOR electric Serv. New ^ Change ^ Temp ^ Fixtures Switches R Moms # Stories Height Class of Const. Occupancy Permit ~~~ ~` Heat Loss BTU'S G Type Volts Amps ~gtacles Circuits PLUMBING CONTRACTOR BT WH Lav Sh WC _ FDr -Sink _ LTub Other Disp DW SP Eject WSoft DF Ur SS CBasin -San. Sewer_ -Storm Sewer -Water FEES: Valuation $ ~~~j-- ~ Permit Fee Plaid $ r~ ~ ~~ Park Dedication $ ISSUED BY ~' ~'r Date ~%~~~~0 Final/O.P. ~l " ~' Rb In the performance of this work I agree to perform all wok pursuant to rules governing the described construction. n SIGNATURES ~~,,~ /Q QQ AGENT/OWNER DATE ADDRESS TELEPHONE # APPL . DATE CI~d I9~ PE~tMIT NO .~ ~ ~ ! O ADDRESS ~ 7J` Q q~ / / (y( f~ C~ OLNER __ /_'~~ /~b ~S'3' l7'~'Yy! ~~' NATURE ~F WORK ~ (/~4 Al~r.~ D'~'1~+~ HEATING CONTRACTOR (.C,aS ~,o,~ ~L,7~9 FUEL: .® OIL ELEC. SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHIMNEY: "A" "B" DIRECT VENT CON.BL'RN~ER~~ CALCULATED HEAT LOSS; _SYSTEM BTU RATING~~~'~=- MISC. INSP. ROUGH IN FINAL ~ O EST. COST %~ `/~~ ,. ~t~ PER:~tIT FEES '~C1. a''p DATE PD p ~ REMARKS