HomeMy WebLinkAbout0018401-HVAC (a/c)~ CITY OF OSHKOSH N°_ 18401
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG /" ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN_ _ HEIGHT _
ADDRESS / ~ ~ PLAN NO.
.~-
OWNER `~r`-
DESIGNER y~
USE/NATURE OF WORK ~'~/ l ~ ~~ 1/~~"~;'
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR~~S r1'1 ~l
Heat ^ A/C (~ Vent ^ Fuel/System _
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT WH
Lav Sh
WC FDr
-Sink LTub
Other
Disp
DW
SP
Eject
Heat Loss t~ BTU'S
Volts Amps
Circuits
W Soft
DF
Ur
SS
CBasin
-San. Sewer_
Storm Sewer
-Water
FEES: Valuation $_~ ~~~ l/`t`/ Permit Fee Paid $ ,~7 = ~~ ~ Park Dedicat/io,,n $ p Gy
ISSUED BY ~ Date ~ ~ Final/O.P. ~l/' ~o r /~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
C
SIGNATURE ~/
AGENT/OWNER DATE
ADDRESS ~ l ~ ~ ~ S ~~ ~ ~ V /
TELEPHONE #
APPL ._ DATE ~ 6 PERMIT NO . ~~f0~
OWNER_~
NATURE OF WORK
HEATING CONTRACTOR ~° ~ ~ -`! ~6 a ~~
FUEL: GAS OIL LE_ SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. ~/C VENT
CHIMNEY: "A "B" DIRECT VENT CON.BURNE
CALCULATED HEAT LOSS ~'"~ }c,y `~~ ice' SYSTEM BTU RATING_~~_L., ~i
MISC.
INSP. ROUGH IN FINAL p
EST. COST /'~~'O -(/~ PERMIT FEES ~~r ~ DATE PD ~ - i'p
REMARKS