HomeMy WebLinkAbout0021301-HVAC (new home) CITY OF OSHKOSH N2 21301
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG Q0 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9- 9 9 ' 5/p G/t - e G iePoo el jp7 " PLAN NO.
OWNER � - rC r 1k ef '5'
DESIGNER /
USE /NATURE OF WORK 0 - Arr-ar-1 Um
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
CH EATING CONTRACTOR fl - C -- 'l — 2 eL4 r/l i-
Heat p A/C Vp Vent ❑ Fuel/System /11 ___ Heat Loss .6 14, BTU'S /��
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 $ Gr ' � _lf Permit Fee Paid $ /• le" 1/ Park Dedication $
ISSUED BY Date /v / .00d Final /O.P. 1/I- C
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/ '
SIGNATURE .4 L.,. _ ' / - A ■ � 4 /003,
ii AGENT, R
ADDRESS
TELEPHONE #
APPL DATE / PERMIT NO. 113a/
ADDRESS 9 p .1q f e� ./® Pr,
OWNER 6CC j py /4 J 5
NATURE OF WORK �� -` - n B, r , e ¥- 24,
HEATING CONTRACTOR -i -e-b-- . 2e,y -',
FUEL: OIL SOLAR SOLID
CONDITIONING $ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. /C VENT
CHIMNEY: "A" ' " DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS i `S J SYSTEM BTU RATING /6"/
MISC. 9` 3 72
INSP. ROUGH IN FINAL / /��y/
EST. COST LiyG�'_ Or, PERMIT FEES/ DATE PD/� /�q /fi�
REMARKS