HomeMy WebLinkAbout0015138-HVAC (a/c) CITY OF OSHKOSH N2 15138
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG r ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS P Ye 5 5 ,i f't1 /!. a/ PLAN NO.
OWNER . TG 1/ e ) (h ) /✓ z_--
DESIGNER �/f^�
USE /NATURE OF WORKlX /� !il r OZ,j
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR TT—e--/a 7-t' / 7-7 el -,
Heat ❑ A/C Vent ❑ Fuel /System t-- / e Heat Loss l— k'I , � / BTU'S re' "
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 $ l � f - Permit Fee Paid $ / 7• ' °.te9 Park Dedication $
ISSUED BY `ge#g— Date _ 0 ief Final /O.P. 9 ''a2 .) - -,!N
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .S c.0--` f AGENT /OWNER
ADDRESS
TELEPHONE #
APPL. DATE -7A/f/ PERMIT NO. /57 3r
A REss.._
OWNER S e /7
NATURE OF WORK / D 41.. c__
HEATING CONTRACTOR ! --7--
� G
FUEL: GAS OIL EC' SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. ■/C VENT
CHIMNEY: "A" "B" - DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS lcp'� 7 SYSTEM BTU RATING A )-e, A
MISC.
INSP. ROUGH IN FINAL2,[?`,y
EST. COST J Oz . �p PERMIT FEES DATE PD AIP07
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