HomeMy WebLinkAbout0045669-HVAC (a/c) 3
CITY OF OSHKOSH N ° - 45669
46) PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / f 2 O 5A eF' f 0/4 /1 PLAN NO.
OWNER Ha r' ?(/` e tet tic/
DESIGNER
USE/NATURE OF WORK Adel c-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR cD s1 ) / 40/4 wl
Heat ❑ A/C V Vent ❑ Fuel /System C C-) Heat Loss !r -teit.7 t BTU'S h G-
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
S'�c� 1
FEES: Valuation $ Permit Fee Paid $ / 9 Park Dedication $
ISSUED BY / � Date b /A Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J3 G /Al, /gf'""
NT /OWNER BATE
ADDRESS S a
TELEPHONE #
APPL DATE /- ,40Pr PERMIT NO. h i e 3l/u
ADDRESS ,f70 7O � h "to GG/.a
OWNER /'4#J f;1/42/0e+
NATURE OF WORK f
HEATING CONTRACTOR col2G�Q'i? ) 7'a/ hG '
FUEL: GAS OIL 44raggP SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.p1C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS 4.7')c/'17)r SYSTEM BTU RATING ¢ jeh/
MISC.
INSP. ROUGH IN FINAL
EST. COST /9f r Ch9 PERMIT FEES /9.0=1 DATE PDb/0
REMARKS