HomeMy WebLinkAbout0009734-HVAC CITY OF OSHKOSH N2 09734
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG `11'-x' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,P' t ie 5 5 1 f 'c4 f , PLAN NO.
OWNER ( O V J7 ec-/< I"
DESIGNER
USE /NATURE OF WORK pp ' e I Air_.." /i
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ` Occupancy Permit
HEATING CONTRACTOR '/ 'i /_��/ QH
L Heat w; A/C ❑ Vent ❑ Fuel /System p.6-- • Heat Loss mss' /,j,O - 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 $ .yGtQ _ l)75 Permit Fee Paid $ ���'i' Park Dedication $ /
ISSUED BY vae, Date r / //9 /ge Final /O.P. ' JQ - ce
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
(61 SIGNATURE `� g' is /
AGENT /OWNER DATE ///
ADDRESS
TELEPHONE #
PERMIT NO. (P∎' 73 APPL. DATE 6//1/r
ADDRESS V05 5 /"f %fr
OWNER [t cy e cke
NATURE OF WORK U edi/ , t°'-ei 1 44m
'
HEATING CONTRACTOR er1.44
FUEL: el OIL ELEC SOLAR SOLID
CONDITIONING " ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: "A" rr DIRECT VENT CON. BURNER
CALCULATED HEAT LOS S 7 SYSTEM BTU RAT ING^7 S'ekie
MISC. '��"
INSP. ROUGH IN FINAL /p
EST. COST r(-? _ v�ERMIT FEES .4 DATE PD 7 /
REMARKS �/