HomeMy WebLinkAbout0023622-HVAC (a/c) CITY OF OSHKOSH N°_ 23622
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS e. r _ / `' G / f Ale I •Q. PLAN NO.
OWNER /V l_ 4 ►° /A' X/: tat A /4 0
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR _ _�
Heat ❑ A/C Vent ❑ Fuel /System Lo G Heat Loss p i ! T BTU'S -2 H.` - 42
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 $ / Q -t9''t' Permit Fee Paid $ py-ti Park Dedication $
ISSUED BY Date /� //g* Final /O.P. (p - 7 - 11
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/I i
SIGNATURE &To fr! - _-4/
AGENT /OWNER /� /�
DATE
ADDRESS
TELEPHONE #
APPL. DATE ij /F Q, 'i/ PERMIT NO. ) ' ?/.72.--
Ab»R SS O ` �
OWNER /YC2 � fi
GJ/ AK4
NATURE OF WORK a /4
HEATING CONTRACTOR (jJ,01.5/go "A", , / lli
FUEL: OIL 100 SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. /C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURN
CALCULATED HEAT LOSS 0 SYSTEM BTU RATING 0 ,9./j... Tph
MISC.
INSP. ROUGH IN FINAL l` 7 /Q`
EST. COST /9019-0 4 t2 PERMIT FEES "Y.0/9 DATE PDGr /ilf/
REMARKS