HomeMy WebLinkAbout0015909-HVAC~ CITY OF OSHKOSH N° 15909
~' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~/ ~~ ~~/y n ~ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
Sq. Ft.
BUILDING COf~
Size
Foundation
t°_ G!/
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR~lZ L2 ~O~ ~a 7~~ ~' m r~~ hG-
H
t
A/C
V ~ '
~
ea
~
^
ent ^ 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
DW
SP
-Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
Storm Sewer
FEES: Valuation $ ~ Ctfl Permit Fee Paid $ 3,f ~ ~`D / Park Dedication $
ISSUED BY Date ~ ~ Final/O.P. ~~' ~ 7`~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~ li
ATE
ADDRESS
TELEPHONE #
APPL . DATE_ g~/ ~~~ .PERMIT ft0 .
ADDRESS ~- ~ ~,~ .~~` /Vh
OWNER ~li w /1r" C c , fY .u _~ _ _ ~.-.
NATURE OF WORK '~ ~
HEATING CONTRACTOR ~ \hc
FUEL: ® OIL ELEC. SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: ~'A" "B" IRECT VENT
CALCULATED HEAT LOSS_~~~~ ~~~ CON. BURNER
,.,_,_SYSTEM BTU RATING_GD_ r~
MISC.
INSP. ROUGH IN FINAL
EST. COST_~ _ ~j pEg~T FEES ~ ~j' ~ DATE PD ~p/~~
REMARKS "_~,.,