HomeMy WebLinkAbout0013677-HVAC CITY OF OSHKOSH N2 13677
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 3 .' Ll PLAN NO.
OWNER /t c� 1)PIIdCG�fs' g C_0
DESIGNER /
USE /NATURE OF WORK # eetY N /V et4 i h4m 'e_-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR C0i/e y 7 CO / /t I' t/2C__
t Heat A/C ❑ Vent ❑ Fuel /System Al— Heat Loss BTU'S 5 ' '"'
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 $ 0 01 / CAfl Permit Fee Paid $ d og g eAg " Park Dedication
ISSUED BY Date gel,/ Final /O.P. 1 1 — / 7-- il 9
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ix)i
'� % ��
AGENT /OWNER ` / DRTE
ADDRESS
TELEPHONE #
PERMIT N0. / r ;VP 7 APPL. DATE 6/ 9
ADDRESS P45-
✓ 5/ x)rr` 47
OWNER 6e?ty pCC4 e// -
NATURE OF WORK 11 e jY / New
HEATING CONTRACTOR Co ji L, To Yea �n hr i--
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING \ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" kpIRECT VENT
CALCULATED HEAT LOSS CON.BURNER
SYSTEM BTU RATING f O /
MISC. U
INSP. ROUGH IN FINAL / / / „ /fy y ,
EST. COST I2 5Q , tO PERMIT FEES ).8`_ DATE PD //
Cv /f���7
REMARKS