HomeMy WebLinkAbout0023486-HVAC (a/c) CITY OF OSHKOSH N° 23486
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG VP ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a I yi(, Jkd/ ` 2 v/1, PLAN NO.
OWNER get) get) en f /�f' L°l-
DESIGNER ,,Q
USE /NATURE OF WORK laGf c_ �/ Q,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (�LA5/l!!s f jh's JL- �G
t Heal!) t Ven ❑ Fu /System 41G ' r He at L , T ��II � A/C � �� Loss �}� S BTU'S d 7
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 $ `6 4t7 - Cli%' Paid $ Permit Fee P r
3- Park Dedication $
ISSUED BY Date . r /� 9 �� 9/ Final /O.P. eo/ 7/7/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �;k, 9
� g /
AGENT /OWNER DATE
ADDRESS ( - l 'S 2 _ � _I ,G S
TELEPHONE #
APPL. DATE :/./ Q /' i PERMIT NO. ;y,
A»RESS �, / 6 A a i l
OWNER o1/41 en /`se-h z°!"
NATURE OF WORK /lId 191 c__
HEATING CONTRACTOR A 5ijw5Sei>S / 9 �lC
FUEL: OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. > '/C VENT
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS �jpr T SYSTEM BTU RATING 773 s
MISC.
INSP. ROUGH IN FINAL OA(
EST. COST /4 ', PERMIT FEES „/. v e DATE PD4../ ,4'/