HomeMy WebLinkAboutHVAC CITY OF OSHKOSH N2 10603
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 0 HTG ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 alit/ e C/2 PLAN NO.
/
OWNER 0 Gtr -- A ' / U
DESIGNER
USE /NATURE OF WORK `7 E',--r-/fhP Mic,f , H9rn t✓
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR _/. ✓ ! m, ' -ea"
/
Heat yo A/C ❑ Vent ❑ Fuel /System / Y -�- 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
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ �f"�"�- �� Permit Fee Paid $ /2 - Park Dedication $
ISSUED BY a Date . gr Final /O.P. / - /a - 8 9
In the perfor : - of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , r L � /. �' 0 c �/ �
AGENT /OWNER E
C� � I ' /? DAT
ADDRESS P &..- / 7 (/l.,/ • .-. H Q ( Pr" - -- es z C)
TELEPHONE #
PERMIT NO. /viper 3 APPL. DATE q/ /�,fa
ADDRESS /4,7 1/ 6.1i, I/
OWNER ljg ,, ,i _ `"/ U re° k
NATURE OF WORK 41 Z°fC J` `kL y /Ie (. / l m !-
HEATING CONTRACTOR / /igGlG�'-
FUEL: OIL dip SOLAR SOLID
CONDITIONING FORCED AIR R.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY S?IR COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS AL,- SYSTEM BTU RATING
MISC. lf' Q #'1
INSP . ROUGH IN FINAL //,0
EST. COST '- c PERMIT FEES G/ . DATE PD 4.1/,7
REMARKS ���!!!