HomeMy WebLinkAbout0031263-HVAC CITY OF OSHKOSH No 31263
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ip ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 8 7 5 s`JO/' e u/moq/ J? f , PLAN NO.
OWNER )1 O/yras (2 . ite,t>r rr e 1/7
DESIGNER r f
USE /NATURE OF WORK if- 1? ' 4 ,C- ^ e � Worn ri
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 1 ! 7 te4 / 14 t'9 '€ P vf'd- .g--
f Heat t p A/C ❑ Vent ❑ Fuel /System / u . Heat Loss /g--f I p BTU'S 8� 00'
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 $ L.Gf • G Permit Fee Paid b<
�
$ Park Dedication $
ISSUED BY Vi/ile-/ Date / 43,-- Final /O.P. f iNgq
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE w _ ` I. --, - w / , Q7i
AGENT /OWNER /ATE
i i , A A ADDRESS 6 i1i«__ _ .!6 e), Ow
TELEPHONE #
APPL DATE 1 PERMIT NO. 3��` 3
ADDRESS 2 7 p. , �f7U``r /� ���� fir
OWNER i 41 l . - 1/
NATURE OF WORK / G. Af e u' 41
HEATING CONTRACTOR (ems 1ia
FUEL: ® OIL <Crz. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. 54/C VENT
CHIMNEY: "A"
"5" 7 VENT CON.BURNER
CALCULATED HEAT LOSS As Ay, SYSTEM BTU RATING ��
MISC. 9Y-
INSP. ROUGH IN FINAL Atig4
EST. COST 6/P C. CP PERMIT FEES GG • c1 D DATE PD/O/ /
REMARKS