HomeMy WebLinkAbout0040584-HVAC CITY OF OSHKOSH
N 40584
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG g? ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /' $ t Akaf e /- /a it e- PLAN NO.
OWNER a;Sf / air
DESIGNER ) USE /NATURE OF WORK P, 4 - 4Je " /ryt me__
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 13 r C Lt/ e/'
g Heat A/C 0 Vent ❑ Fuel /System AM— Heat Loss WO /797 BTU'S 2-c Pi
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 $ // "' Permit Fee Paid $ ;7. `11" Park Dedication $ -
ISSUED BY Date 7/0"/9�f" Final /O.P. q i / Q q / ' / `�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
I I/ 9V, SIGNATURE - 7 /� / /9 C. 7
AGENT /OWNER J DATE
ADDRESS
TELEPHONE #
APPL DATE PERMIT NO._ Ef O
ADDRESS 4
OWNER G. � - c
NATURE OF WORK ��L
HEATING CONTRACTOR r 8- e
FUEL: ap OIL ELEC.
SOLAR SOLID
CONDITIONING 4 ''RCED AIR R.W
ELEC. BASE. STEAM
SYSTEM '.1IANT
SUPPL. A
CHIMNEY: "A" "B"
CALCULATED HEAT LOSS VENT VENT CON.BURNER
MISC. --* SYSTEM BTU RATING
INSP. ROUGH IN
EST. COST //010: FINAL QQy
REMARKS !tp PERMIT FEESLG� DATE PD /i� A42747