HomeMy WebLinkAbout0002017-HVAC (furnace & a/c) CITY OF OSHKOSH N2 02017
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG Vii ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _5 6 5 e U/!l®d PLAN NO.
OWNER 12,'c re./ Ap
DESIGNER lac-e- USE /NATURE OF WORK FilYh4'L� V 1 ' / —
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR o niv S P /7
Heat N A/C Vent ❑ Fuel /System / Heat Loss E,µ`5 ) BTU'S / L 5 z 9
yy,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 $ • 4-49 Permit Fee Paid $ g15 • 0 0 / Park Dedication $
ISSUED BY a"' _ Date ////,-/s76 Final /O.P. 1 - / 4 'F7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _.t._.. c'6./�� \r / /
AGENT /OWNER ' '� `/ /� ��
ADDRESS
TELEPHONE 1
PERMIT NO. ® ,2O/ 7 APPL. DATE // /,P-
ADDRESS 5 5 5h 0/ ► e_uj®ceGJ/
OWNER T) tc I `
NATURE OF WORK a e -p F ir „ Q c e_
HEATING CONTRACTOR Ro5 SSe4! /.
FUEL: Of OIL 'LEC SOLAR SOLID
CONDITIONING y RCED AIR H.W. - ELEC. BASE STEAM
SYSTEM (( GRAVITY SUPPLEMENTARY >44R COND.
CHIMNEY: ' ' "B" DIRECT VENT CON. BURNER
CALCULATED HELOSSh �r YLS/ ` 11/2 SYSTEM BTU RATING 5
MISC. q //7?7
INSP . ROUGH IN FINAL / //y / 7
EST. COS15L/, C' 'PERMIT FEES q DATE PD
REMARKS ! /