HomeMy WebLinkAboutHVAC CITY OF OSHKOSH N2 11125
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 6 / 9 WI f (/ e V` {'r! / `/ G''l.Gt' PLAN NO.
OWNER 0. r fL2 Yht,/se k.
DESIGNER
USE /NATURE OF WORK I f7 " �'''� -_- I ' _ A. .(�' - e—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR , 1 ✓ i . r/ i/ C__
i
Heat [p A/ ��'!i Vent ❑ Fuel /System Heat Loss /"t,," IV BTU'S 7 / /7
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change 111 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 $ g4 6/4-O Permit Fee Paid $ g/ ‘!" Park Dedication $
ISSUED BY Date /i / / 7, Final /O.P. 07- 4 !
In the perform e of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I w 274.1.._ i `� ff
AGENT /OWNER DATE
ADDRESS a I 17 ? "1—..12-4-1-6, S- 6 Z v
TELEPHONE #
PERMIT NO. ) /1� r APPL. DATE /p /Vel, '
ADDRESS / /`7 _RI ./"Y.YI,
OWNER � y` /c "fa 14 5
NATURE OF WORK //iea iz e L/
HEATING CONTRACTOR gL / 2 j7 !! i/ Ahc
FUEL: OIL ' A
SOLAR SOLID
CONDITIONIN yORCED AIR H.W. ELEC. E STEAM
SYSTEM GRAVITY SUPPLEMENTAR !SIR COND.
CHIMNEY: "A" v DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 7 45 , SYSTEM BTU RATING
MISC.
INSP. ROUGH IN FINAL 1:411 „ --
EST. COS PERMIT FE 'r__ '!!'DATE PD TJ7 jf
REMARKS /9 yam 4AV 4 0 9