HomeMy WebLinkAbout0041187-HVAC CITY OF OSHKOSH N9 41187
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ;2' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 705 5%.v r' e (4.J4®d PLAN NO.
OWNER /la 1/s' -e!7
DESIGNER
USE /NATURE OF WORK A`...-. 1 i_ / ,/ • o f I t _ Avi, It � .. _ eh
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
C IEATING CONTRACTOR / )77 5 7 55 ra /',/c ,
Heat ❑ NC N Vent ❑ Fuel /System Fie c.4 Heat Loss g`f S f" BTU'S Ay 1 /t r-d h
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 $ 5 . c" Permit Fee Paid $ 5 9'fl Park Dedication $
ISSUED BY Date V// 9/ 9V Final /O.P. 1 • 13 - 9.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / ,-;?
6/./ 7
7 99
AGENT /OWNER TE
ADDRESS 5 y 0 / � 6 0 ,734, /776
TELEPHONE #
APPL DA PERMIT 110 . / il r7
ADDRESS 17 5"AQpec(L yd
OWNER greitsen A a ! /
.�
NATURE OF WORK "`e�� d . c. if 11 rc a e.
HEATING CONTRACTOR /Oh hh hr 77 ✓ G va'J
FUEL: GAS OIL C.EV SOLAR SOLID
CONDLTIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. 3'C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNAH
CALCULATED HEAT LOSS L r es SYSTEM BTU RATING 17A. 72
MISC.
INSP. ROUGH IN FINAL 03/iy
EST. COST GUa , C. PERMIT FEES r oe C-t DATE PD }
REMARKS