HomeMy WebLinkAbout0022486-HVAC * CITY _ OF OSHKOSH N° 22486
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG A) ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ;$7.1)--g O CA >°j' GZ C! 17 PLAN NO.
OWNER ( V 'eG) e ` 4 C
DESIGNER J
USE /NATURE OF WORK t e ti-cp... , 4 e G[I bA
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HE CONTRACTOR COe1c�Q/ Q r7 " !Li / ,i g/' t /'J�
e Heat 7 A/C ❑ Vent ❑ Fuel /System At 6- ' Heat Loss Al //'p - BTU'S 6 CJT7`7f,
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 $ A visP , oe Permit Fee Paid $ �'°'- / Park Dedication $
ISSUED BY 1,',Re L i Date 91/4/9/ Final /O.P. 6 . ;20-'2/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE._ AN YV CMS
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL. DATE / // 9/ 96 PERMIT NO. 2 , -9F4
ADDRESS A 5Y 4 - el' 6�oh
OWNER 2 -7Pi' D Ck-r°/
NATURE OF WORK /4 -144f: eC2/ ir>4
HEATING CONTRACTOR Z /14' , 7-4 6,i,it r _tire._
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING 1 . 6 FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "3" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING ) !p /gyp
MISC. rY ✓
INSP. ROUGH IN FINAL V/0 /f/
EST. COST j PERMIT FEES 'O . c) DATE PD 3J19/
REMARKS
r
r