HomeMy WebLinkAbout0019961-HVAC_CITY OF OSHKOSH N° 19961
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS (L-/ ~~O[ /~-tf/~J~~~/~~ PLAN NO.
OWNER ~~ I / ~ /f i<° ! ~!~I
USE/NATURE OF WORK 41 r°~r J` ~- l7 /~.- /1 ~L` CSC/ 1~+~'~Y/2 '~
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~ ~ ~ A/ r Y/~
Heat ~ A/C ~ Vent ^ Fuel/System ' V -~'- Heat Loss BTU'S ~
~~ 1 <, 1 U.
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT
Lav
WC
-Sink
Other
-San. Sewer_
-Storm Sewer
Water
~-~
FEES: Valuation $ ~ ~"~ •- ~~~ Permit Fee Paid $ ,~~~ Park Dedication $
ISSUED BY Date ~ ~5,, ~? Final/O.P. ~a /~ ~~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ld~~~~-~~..~~---
AGENT/OWNER DAT
ADDRESS ~8~1 ~UN~ cam' '~`~41L 1 W iNtO-EC~tiI^l~c. 'V~V ~ 58` - `~g0~
TELEPHONE #
WH
Sh
FDr
LTub
Disp
DW
SP
Eject
WSoft CBasin
DF
Ur
SS
NATURE OF WORK ~~V'~l~L Nec.~-" -/x/72 -~
HEATING CONTRACTOR ~- ~/ ' .~ -~ d />r, -e-
FUEL: ~ OIL E SOLAR SOLID
CONDITIONING b FORCED AIR H . W . ELEC . BASE . STEAM
SYSTEM RADIANT SUPPL. C VENT
CHIMNEY: "A" ~"/,, DIRECT VENT CON.
CALCULATED EIEAT LOSS ~,' A~i~r~ SYSTEM BTU RATING
.,a..... i ~~
INSP. ROUGH IN FINAL G ?0'
EST . COST ~,' ~~a , crt~ PERMIT FEES ~~ ,~ ~-~~ DATE PD l%"~ -
REMARKS
APPL. DATE ~~~/ g~ ,,,_ PERMIT ItO./ I~~,L