HomeMy WebLinkAbout0036737-HVAC CITY OF OSHKOSH
N2 36737
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG re ELEC ❑ PLBG ❑ SIGN El ZONING FLOOD PLAIN HEIGHT
ADDRESS Qh.11�,6 5,4 eri/da !i! PLAN NO.
OWNER Co S ca. de /7(94Y1�
DESIGNER
USE /NATURE OF WORK
8;-.1/:,„. /Y e CC, /'n
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Or ea,eI
e Heat Tp A/C ❑ Vent ❑ Fuel /System AL-C- Heat Loss, BTU'S b e 41
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 $ 7C ' - 4 J ` ® Permit Fee Paid $ 2 7 - , Park Dedication $
ISSUED BY___' ` Date /L /`19.% Final /O.P. 2 j &)9 f
In the performance of this work I agree to perform all w
•ursuant to rules governing the described construction.
q 91 - i
SIGNATURE U //Aft,
AGENT /OWNER ATE
ADDRESS
TELEPHONE #
APPL. DATE ? /7 j
PERMIT
ADDRESS , 3'06-
r -�.
OWNER ar
NATURE OF WORK ,, 4/6;C:
+A-77
HEATING CONTRACTOR
FUEL: dr r..,�
OIL ELEC. SOLAR SOLID
CONDITIONING /FORCED AIR H.W
'SYSTEM ELEC. BASE. STEAM
RADIANT SUPPL. A/C
CHIMNEY: VENT
CALCULATED HEAT LOSS _w RECT VENT CON.BURNER
MISC. SYSTEM BTU RATING
INSP. ROUGH IN
EST EST. �� pp a FINALS
. COST
ARKS PERMIT FEES 7, , e-r..2 DATE PD /1,0' 3