HomeMy WebLinkAbout0015911-HVAC_CITY OF OSHKOSH N° 15911
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ / -
OWNER~~~/ 0`-eG~~~~S
DESIGNER
USE/NATURE OF WORKIiZGs il~sG
PLAN NO
BUILDING CONY
Size
Foundation -
# Stories Height _
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~'/
Heat '~ A/C ^ Vent ^ Fuel/System ~~• Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
BT - WH
Lav Sh
- WC FDr
Sink LTub
Other
Sq. Ft
# Rooms
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ ~ ~ ~ _ U>~ Permit Fee Paid $ ` !/`~ Park Dedication $
ISSUED BY Date ~® ~ Fi
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l/O
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
ati:.
Disp
DW
SP
-Eject
O !s
DATE
TELEPHONE #
APPL . DATF ,~-~°~..~-PERMIT NO . ~ ~ y~~
~~s=..... ~ __ C~-
~'~ ,
OtJNER~01 f _~y~ /Y ~7~-~~~
NATURE OF WORK ~.~~7~1~~-~, ~~ °~
HEATING CONTRACTOR ~~ ~ ra~/ C~t~-i~i' ~ L~ZG_
FUEL: ~ OIL ELEC. SOLAR SOLID
CONDITIONING
SYSTEM
FORCED AIR H.W.
RADIANT SUPPL.
ELEC. BASE. STEAM
A/C VENT
LNSP. ROUGH IN FINAL
EST. COST aa-U-p _ ~-a PERMIT FEES_
REMARKS }
APPL DATE lD~ ~s/,P~,~ PERMIT 1~0 . 7
ADDRESS ~ / ~~ ~~,~
OWNER ~ ~~ ~~`~z,' r''
NATURE OF WORK ~ ~~-~L,T /~/.~~/ ~/~ ~-
HEATING CON CTOR ~ ~ ~ ~ ,,~ }~d _~~ ,~ r~ f~
FUEL: AS OIL ELEC. SOLAR SOLID
CONDITIONING I ~RCED AIR H.W. ELEC~ BASE. STEAM
SYSTEM RADIANT SUPPL. ATE- r~~-
CHIMNEY: "A" ~~'` DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING ~~~ /~~,a~
MISC. ~/ ~~
INSP. ROUGH IN FINAL / ~
EST. COST ~~~~, Lf--G~ PERMIT FEES . ~ DATE PD
REMARKS ~l - ,
CHIMNEY: "A" '(~% DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ~, ~ SYSTEM BTU RATING 75;p~-~
MISC.