HomeMy WebLinkAbout0023108-HVAC CITY OF OSHKOSH N°_ 23108
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 56 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 %/O 34 .e/ 1 l: h.J1
PLAN NO.
OWNER _ , r r • -
DESIGNER
USE /NATURE OF WORK fried/72y *Va/ 4"/17e .51P-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 6/1291 Yr / et .474-- ,rte c..
Heat p ' A/C ❑ Vent ❑ Fuel /System Ai- Heat Loss JErs 4 BTU'S � I '
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 $ - !
Permit Fee Paid $ , 61`1e9 Park Dedication $
ISSUED BY 'V-81e--- c'
Date 0 Final /O. P. � 3' - 7,R
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 N Gtv+cON y�01
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL DATE 4 // 1 / ? r PERMIT NO. AINOW
ADDRESS ;2 5/'JL°141
OWNER or`17 rt D ec4 e r
NATURE OF WORK 11 AI e / )h `yj e..-
HEATING CONTRACTOR (, HC1ah
FUEL: 69 OIL ELEC. SOLAR SOLID
CONDITIONING t AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" )°DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS i N p, SYSTEM BTU RATING 3� �tp
MISC. /`�
INSP. ROUGH IN FINAL ';
EST. COST VW'. ow PERMIT FEES 15' oe 9 DATE PD 0/ q`Q`
REMARKS