HomeMy WebLinkAbout0009567-HVAC (a/c) CITY OF OSHKOSH No 09567
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG Ey, ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 8 ? sA Z° i / �1.l' Aj PLAN NO.
OWNER I `LCt r !° 11 /77 /72 Y9,
DESIGNER
USE /NATURE OF WORK ' ; s : �
•
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR W e j ie�
Heat ❑ A/C ►2� Vent ❑ Fuel /SystemV'P Heat Loss }L ! 5` BTU'S P 7o h
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 $ / - Cf9 Permit Fee Paid $ /3• Park Dedication $
ISSUED BY Date 7 1 e /af- Final /O.P. — 9 S b
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
J
SIGNATURE : _ —al/ ,dl.
AGENT /OWN �� A
D A
ADDRESS
TELEPHONE #
44--
PERMIT NO. C1707 APPL. DATE 7/19
ADDRESS 0 5 er / i_O_ _
OWNER /oCC! F 74. G? 1 - i . � /� ^z 1
NATURE OF WORK
HEATING CONTRACTOR (1' 5" le
FUEL: GAS OIL alIFP SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY COND.
CHIMNEY. "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS L: y1 c y-- SYSTEM BTU RATING Jam'
MIS O.
INSP. ROUGH IN FINAL JO9/2,8-
EST . COST / 34/(/' cif, PERMIT FEES / 5, rcp DATE PD
REMARKS