HomeMy WebLinkAbout0032048-HVAC~ CITY OF OSHKOSH N° 32048
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ 7~ /C-Ci / C! ~ I i PLAN NO.
OWNER L-.~t~~ G ~~ys S
DESIGNER
USE/NATURE OF WORK ~ 1~~ ~C'• ,~=(,r/ ~`JE9~!'!!~
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR ~~~~ ,~Y` ~~'
Heat ~ A/C ^ Vent ^ Fuel/System - ~ • Heat Loss BTU'S
ELECTRIC CONTRACTOR
• Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles 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 $ a ~~ Permit Fee Paid $ ~ ~ ~ ~~ Park Dedication $
ISSUED BY Date /~~ ~/9~- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
c
DATE
ADDRESS ~ ~~
TELEPHONE #
APPL . DATE ~/.~IQY PERMIT Ii0 . ~~ ~7 D
ADDRESS ~° ~ 7~ ,~~- ~_
OWNER ~!~ h f'~ e~'G~ /'7Il SS
NATURE OF WORK ~-J/'./~ G /U-ECM/ ~~~'N ~ -
HEATING CONTRACTOR ~/' ~6U ~/^ f~~
FUEL OIL ELEC. SOLAR SOLID
(`!JNDITIONING
SYSTEM
AIR H.W. ELEC. BASE. STEAM
RADIANT SUPPL. A/C VENT
CHIMNEY: "A" 'X DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS' „~~~ _SYSTEM BTU RATING ~ ~_ ~`~~
MISC. ,____
INSP. ROUGH IN FINAL ~/~// ~/J
EST. COST ~~ ~O`r~ - ~`D PERMIT FEES 3 3 _ U`~ DATE PD /S
REMARKS