HomeMy WebLinkAbout0010575-HVAC (a/c) CITY OF OSHKOSH N° 10575
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,g V /1/ /2 1 /'L/Q 9' PLAN NO.
OWNER /6/,-,e0y �°_ DESIGNER
USE /NATURE OF WORK I Q4 14/ _ Qe:)
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR re- e- l ` 7,e 14 z°f)
r ...„,...
Heat ❑ A/C rez=gent ❑ Fuel /System fi, r.-V Heat Loss r 6 / ( 7 - 7 - BTU'S 7
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 $ / a l--0- . Permit Fee Paid $ /,2 • L~� Park Dedication $
' ° /�
ISSUED BY Date 9 /� /er Final /O.P. /0 - .2 i f - S r '
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e12"---
AGENT /OWNER 0///fY--
ADDRESS
TELEPHONE #
PERMIT NO. ''; D f2 APPL. DATE
ADDRESS ? /7 ji7,1
OWNER per c CJ �j ��
NATURE OF WORK /
HEATING CONTRACTOR Ti r,4
FUEL: GAS OIL 4100 SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY "AIR COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 1 ic 7 SYSTEM BTU RATING T» h.
MISC.
INSP. ROUGH IN FINAL
EST. COST ERM1T FEES / DA PD /
REMARKS