HomeMy WebLinkAbout0033499-HVAC (a/c)CITY OF OSHKOSH
PERMIT -APPLICATION AND RECORD
OWNER
DESIGNER
USE/NATURE OF WORK
~!
N° 33499
TYPE: BLDG ^ HTG [~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------"--'----------------------------------------------
ADDRESS ~ ~ ~/ f ~'~y ~~ PLAN NO.
t~
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
~~ Heat (~i A/C lam'' Vent ^ Fuel/System
G';
Heat Loss 'r f ~ BTU'S ~~~~/~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
- BT WH Disp - WSoft
- Lav - Sh DW DF
- WC _ FDr SP Ur
-Sink _ LTub _ Eject - SS
Other
- CBasin
-San. Sewer
-Storm Sewer
-Water
FEES: Valuation $ ,f~t~®- ~"~ Permit Fee Paid $ /~l~ ~~ v Park Dedication $
ISSUED BY ~~`"~ Date !, ~~~~~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J6/w" ~ ~'~' C jCJ~~Gf!/I
r ~ r
DATE
~u f ~~
TELEPHONE ~
APPL .DA-TE_ ~G~g-~ PERMIT K0. ~ i~~
ADDRESS ~ ~ 7! f~c`f ~ (~
OWNER a°(fi'!i! ~ e ! G~~~/5 S
NATURE OF WORK ~~L~
HEATING CONTRACTOR ~I^ 1e(,.~,/ gp ~I
FUEL: GAS OIL EC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ~spL`5/'- SYSTEM BTU RATING `fj ~ h
MISC.
INSP. ROUGH IN FINAL </ f
EST. COST ~f~y ~~j PERMIT FEES ~/. UYJ DATE PD y 4 q
REMARKS