HomeMy WebLinkAbout0027828-HVAC CITY OF OSHKOSH N°_ 27828
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 yi ,A e eIIcia b! PLAN NO.
OWNER a l.7_DGCK-eV'
DESIGNER
USE /NATURE OF WORK /1r//i /, GIJ
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR ere w e N 1
Vent Fuel/System stem `/ a
Heat A/C Heat Loss 7¼e'
❑ ❑ Y /+� � � �1 BTU'S
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 $ i sAfeia. CAV Permit Fee Paid $ 4 / 2 ‘ ° 61119 i Park Dedication $
ISSUED BY Date 5 1 , 7/Q 0- Final/O.P./J 9c
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
':41 J --- 902
dii - 9/,' 7/90
r AGENT/OWNER
DATE
ADDRESS r u ,1 /� = i . I 7 4 /9
," 7` T r E 7 L"E " PH f O � NEE #'
APPL DA PERMIT NO. , 7.57-..?" v 7
ADDRESS I `I/✓ ,? et''``
OWNER afi e r
NATURE OF WORK 'WAG A/fw Jm
HEATING CONTRACTOR Or e' e r #41
FUEL: ( 4 OIL ELEC. SOLAR SOLID
CONDITIONING 4ORCED AIR H.W. ELEC. BASE. SEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" ' ' DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS ;K,�t fjy� SYSTEM BTU RATING 75 Oi "0
MISC. /'//'' / /
INSP. ROUGH IN FINAL /7l ylO
EST. COST 0 /00 -C't PERMIT FEES 62-4-e DATE PD ViW9
REMARKS