HomeMy WebLinkAbout0043095-HVAC CITY OF OSHKOSH N° 43095
PERMIT -� APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [ia) ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 Y) Sh rr ado PLAN NO.
OWNER e.J1 1l
DESIGNER ` /
USE/NATURE OF WORK ) RP / iv 02 e mod' d eil/ e ci j ��v� L e ae
r,,,-1- � r,cJ w La' 14 1 v c 5 407 13 Obi C1914
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR DW VI e /"
t Heat rp A/C ❑ Vent ❑ Fuel /System 44 ` 6 Heat Loss y f r i 7 BTU'S E6 / k 5 7
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT _ WH _ Disp _ WSoft _ CBasin
— Lay Sh _ DW _ DF _ San. Sewer
- WC _ FDr _ SP _ Ur _ Storm Sewer
- Sink _ LTub _ Eject SS — Water
Other
FEES: Valuation 3 P, c� , ye• C-,19 $ Permit Fee Paid $ / Park Dedication $
ISSUED BY Date `� / 9 / 9 r Final /O.P. f 1 1 UL ` q 5
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
40 SIGNATURE Q ..Q ' AGENT /OWNER �l', l DATE
ADDRESS 4'7a'S Sherd4n 7'j 05I-1 IBS h yl y - ?-3') ' f( /<
TELEPHONE #
9 PERMIT NO .
APPL DATE `
ADDRESS a / r
) �// CrclG 1,7
OWNER
NATUR4 OF WORK Add J/c,c i Y J nSi I/ 60 SLr Ft °Y`�61r-
HEATING CONTRACTOR ®■F'1
FUEL: GAS OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT rUPPL. ABC vErwr
CHIMNEY: "A" Cf' DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS P 5 r SYSTEM BTU RATING AO
MISC.
INSP. ROUGH IN FINAL te// 9 / �/
EST. COST �}57lZ''. & PERMIT FEES //d .c/Y) .C. DATE PD 5.- / l l ff
REMARKS