HomeMy WebLinkAbout0014797-HVAC (a/c) CITY OF OSHKOSH N2 14797
CIL) PE - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ® ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / J Hay 17/ SV PLAN NO.
OWNER / t
DESIGNER
USE /NATURE OF WORK , PPS
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR fi n erI" A-L
Heat ❑ A/C 7 Vent ❑ Fuel /System t 'E' CV Heat Loss '167/15-.1- „, I
BTU'S ,7
ELECTRIC CONTRACTOR re-14
,)(
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 $ / L/P1”. Permit Fee Paid $ / / 41 I Park Dedication $
ISSUED BY mil`"_ Date O/71 / Final /O.P. 9 - f - n
In the performance of this work I agree to perform all work pursuant to rules governing the described constructio
SIGNATURE
AGENT /OWNER �i
P DATE
7 / /2
ADDRESS / ✓g r,� -' J - i c
/ TELEPHONE #
' PERMIT NO. / APPL. DATE r /,�'
ADDRESS / / "?9/14:1//4,
OWNER / !/Li 1.6 / r rZ
NATURE OF WORK )9,44W
HEATING CONTRACTOR 41 1 e y , ` jl if 1-717,
•
FUEL: GAS OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. JC VENT
CHIMNEY: "A" "B' DIRECT VENT CON.BURNE
CALCULATED HEAT LOSS L Ki S r SYSTEM BTU RATING 74,12. #j
MISC. `
INSP. ROUGH IN FINAL % " 0 "
EST. COST /wee : PERMIT FEES /4 DATE PDIsfri
REMARKS