HomeMy WebLinkAbout0020347-HVAC (a/c)_CITY OF OSHKOSH N° 20347
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ ~ d ~ ~'CG /l~i 4/~/ / 'J G/ ~ PLAN NO.
OWNER ~(/i" ~/ SS `~'I LS
DESIGNER
USE/NATURE OF WORK ~~f~~~~' ,~l C~ ~7. ~ ~,S
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (~[L,~ ~
Heat ^ A/C ~ Vent ^ Fuel/System
Heat Loss ~~ ~ T T BTU'S ~ ~ fZ
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
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 $ ~l ~~ _ rJ~-fJ Permit Fee Paid $ ~~ ° ~
ISSUED BY "~ Date O' ~ Park Dedica ' n $
Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE '~~'2'( ~ Q'
AGENT/OWNER D TE
ADDRESS
TELEPHONE #
_ APPL . ,DATE ~/ /~~79~ ~~_ PERMIT n0 ~a~~,~
ADDRESS fZ. ~L~ ~~ /~!`IL~~ ~ ~n ~~ r-
OWNER ~~.f t^ ~~u° =~ 6?-~' S
NATURE OF WORK
HEATING CONTRACTOR
FUEL: GAS OIL
CONDITIONING FORCED AIR
SYSTEM RenTeuT
~ SOLAR SOLID
K.W. ELEC. BASE.
SUPPL. C
STEAM
~tslr~tvEY : "A" "B" -DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS_ ~~ c`s'~- SYSTEM BTU RATING ~ 7~ ~~
MISC.
INSP. ROUGB IN FINAL
EST. COST /~~~i_pEg~T FEES / G . c~,/__DATE PD ~ ~
REMARKS