HomeMy WebLinkAbout0018381-HVACAPPL DAtiL'E~, D PERMIT I10. ~~~--~-~~
ADDRESS ,~ ~~ J_~~~C~i~` t'"/~a,~ Grp
OWNER ~~~ ~^ ~'o` ~" J~/~' .~ ~-
NATURE OF WORK ~~°~'~!"~-r ~ ~,/~w ~~~,
HEATING CONTRACTOR ~'~~~~ ~"a a r"' t{ ~`_ ~`
~~~ r .~~
FUEL: GAS OIL ELEC. SOLAR SOLID
CONDITIONING RCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.
l:Ft1MNEY : "A" "B" ~ DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS t--~.~' SYSTEM BTU RATING_~~ ~~-~~t~~
MISC.
INSP. ROUGH IN FINAL / ~'
EST. COST 3 L'Y^r =^-~ PERMIT FEES ~
DATE PD ~lP
REMARKS
CITY OF OSHKOSH N°- ~838~
n PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
y ~ ~frl PLAN NO.
ADDRESS ~ ~ ,/"`%~ ~ ~
OWNER C~ t~ /" ~/~ ~ S ~/~'!~? z° 5
n~cir_tiFQ
USE/NATURE OF WORK ,C7~~r!1 ~ ~w _{~!~'! ~
i
BUILDING CONTRACTOR
Size Sq. Ft. # R toms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CO
H [~
~a ~~
eat A/C LJ Vent ~J Fuel/System s~-~" ~ Heat Loss BTU S - ~
ELECTRIC CONTRACTOR
I
Electric Serv. New ^ Change ^ Temp ^
~ Type Volts Amps
Fixtures Switches Rece ptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub -Eject SS Water
Other
FEES: Valuation $ %~'~-- ~ Permit Fee P aid $ 3 ~ ~~ / Park Dedication $
ISSUED BY Date gO Final/O.P.
In the performance of this work I agree to perform all wo rk pursuant to rules governing the described construction.
SIGNATURE ~~'~~~'~~''~/ G3
AGENT/OWNER DATE
ADDRESS
I TELEPHONE #