HomeMy WebLinkAbout0037295-HVAC CITY OF OSHKOSH N ° - 37295
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 e O f /.liy L'' f h PLAN NO.
OWNER a i 19t4 &lees
DESIGNER
•
USE /NATURE OF WORK f^: `ic
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR - 6 A - J
Heat A/C II3 Vent ❑ Fuel/System N -6- Heat Loss /T5 J2 BTU'S
9 h=r /Jc_
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 14 PO' - 4O Permit Fee Paid $ CiLo Park Dedication $
ISSUED BY Date 40/ /419. Final /O.P. 02' 9 l
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE O'> CUA
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL . DATE /1/�21,3 PERMIT NO . 3 7,0 ✓�
ADDRESS Jog44- Motel-• Ai
OWNER g 4E- gAH .kas-fq ,TaAn5
NATURE OF WORK / G.
HEATING CONTRACTOR AI / */ destf „'
FUEL: 0 OIL 0W SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B"
CALCULATED HEAT LOSS )°DIRECT VENT CON.BURNER
MISC.
J xj SYSTEM BTU RATING liG G{
am
INSP. ROUGH IN '
EST. COST '1 9i5 ,cep PERMIT FEES DATE PD D
REMARKS /(t /4�l