HomeMy WebLinkAbout0020335-HVAC (a/c) CITY OF OSHKOSH N° 20335
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG in ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 990 S /m /S PLAN NO.
OWNER a. eeir9 /Z/ /J- ,
DESIGNER
USE /NATURE OF WORK ,OW /9--/c, .1:f Pe,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /alai X 49( 7
Heat ❑ A/C `v Vent ❑ Fue / System ./e"GV ' Heat Loss C I/ f ✓ r BTU'S 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 $ /5.1210°. �/ J� /D�� Final /O.P.
e"8 Permit Fee Paid $ /0G • O'er Park Dedicat $ �
ISSUED BY Cv � . '/-' Date � / ` ! �t/
(P 7 fi
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE at/t )
AGENT /OWNER � / A
DA O
ADDRESS
TELEPHONE #
APPL. DATE_ PERMIT NO./
ADDRESS /9 `a 7 5 sn7OSoh
OWNER - ■ - `• /-
NATURE OF WORK )di / f'L G
HEATING CONTRACTOR Ater '' t
FUEL: GAS OIL (:4D SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. /C VENT
CHIMNEY: "A" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 4 7- "icy t 5" SYSTEM BTU RATING
MISC.
INSP. ROUGH IN FINAL 07b0
EST. COST /15VV. Cl PERMIT FEES PG. c" e7 DATE PD ffrfteJ
REMARKS '