HomeMy WebLinkAbout0009553-HVAC (a/c) CITY OF OSHKOSH N2 09553
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG Rp ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a 9 ✓l /if ' P7 ere./ 1(/ PLAN NO.
OWNER 40 U /3 P' 10 `J
DESIGNER
USE /NATURE OF WORK , • %/ i c J /f
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR U' C S"! e y H
Heat A/C Vent Fuel/System stem ' �'!r� Heat /S O
❑ ( �' ❑ y � eat Loss }� ✓ BTU'S � T ij
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft — CBasin
__Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
✓
/ �
FEES: Valuation $ 1 Pe . e) Permit Fee Paid $ /1. a Park Dedication $
ISSUED BY At Date — 2/% 2 it /i Final /O.P. d - d3 _
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
c' `� /
SIGNATURE ..�-- _ i _ _ i - ?) P
AGENT /OWNER D ATE
ADDRESS
TELEPHONE #
PERMIT NO. a 9 5 -5 - 3 APPL. DATE 7 /�i /7d
ADDRESS y 3/ frit e j d�
OWNER 1 - v 1j `/O
NATURE OF WORK 1l7k, A5 G
HEATING CONTRACTOR (4!,/e.5 ,4 / _ c' c/7.
FUEL: GAS OIL 40 SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY '4!R COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS trx/e7 SYSTEM BTU RATING;2 rCh
MISC.
INSP. ROUGH IN FINAL 9 )-f/
EST. COST)Ie,' Pt2PERMIT FEES / /,p19 DATE PD
REMARKS