HomeMy WebLinkAbout0014779-HVAC (a/c) CITY OF OSHKOSH N°_ 14779
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG I" ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,.1,_ n /t'/ i / r- y" (/L? PLAN NO.
OWNER /4 t' r' f: / to /i 7)7C)4
DESIGNER ,,Q
USE /NATURE OF WORK £ 4 ft/( / Ye,J-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR r/lls / / "j viG--
Heat ❑ A/C ir Vent ❑ Fuel /System / / 'c - Heat Loss A A /'i 1 BTU'S #7. ` l/`
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 $ / .9�,j ,� Permit Fee Paid $ / ' f Park Dedication $
ISSUED BY ` " - %' G
Date D -' - c2
(� � 7/ � Final /O.P. � Z � - 0 9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L' fie. lii f > S� �'�-/
G ENT /OWNER (� D /
ADDRESS /6 6� / ead'` a3,5 01//5
TELEPHONE #
PERMIT NO .�� 7
APPL.
ADDRESS > =/ ._! i 4
OWNER
NATURE OF WORK
A.--ir vim
HEATING CONTRACTOR
FUEL: GAS OIL Ada,. 411- � C-
I ' EC '? SOLAR SOLID
CONDITIONING FORCED AIR H.W
SYSTEM ELEC. BASE.
RADIANT SUPPL. STEAM
CHIMNEY: " / VENT
rr
CALCULATED HEAT LOSS , DIRECT VENT CON.BURNER
MISC. SYSTEM BTU RATING 1Q
INSP. ROUGH IN
J `j ��, FINAL ARNI
EST. COST
REMARKS - - -- PERMIT FEES ",
DATE PD