HomeMy WebLinkAbout0023428-HVAC CITY OF OSHKOSH N2 23428
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG g ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS `l4 0 I-a& f z/" k to-- PLAN NO.
OWNER k ✓r t /wi ,Pp /L
DESIGNER
USE /NATURE OF WORK N 'ea 'J/s- y Air-a /B!?Z
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR )3 / se c t/ -,1 7'' 19-17
Heat A /C ❑ V ent ❑ F uel /System Heat Loss /95 *P BTU'S 75
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 $ 3.5 - 95: �/
P erm i t Fee Paid $ et d° Park Dedication $
ISSUED BY Date — /P//9/ Final /O.P. ' ../( Y —9'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
:- .---- 1 27-----
`
AGENT /OWNER �� /
DATE
ADDRESS C;;)-------e-ty---/ 71415, L /4
TELEPHONE #
APPL DATE 0/ PERMIT NO. ;
ADDRESS i`60 - 4W,Fer J - _
% S
OWNER CUP 14'55 /164
NATURE OF WORK 4;/5 /10,71
HEATING CONTRACTOR AF' e
FUEL: 4100P OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" '( DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS 14 �fl SYSTEM BTU RATING 7c ar."
MISC.
INSP. ROUGH IN FINAL /04*
EST. COST ff)T7029 PERMIT FEES 4 GA-0 DATE PD
REMARKS