HomeMy WebLinkAbout0048024-HVAC CITY OF OSHKOSH N ° - 48024
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS fJ e ` # l PLAN NO.
OWNER JZL 5 Co ii-s/
DESIGNER
USE/NATURE OF WORK # #< G Ne cf.,/
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR e r C w e y'
t _ Heat 10 A/C ❑ Vent ❑ Fuel /System At E-C • Heat Loss 4 BTU'S 6
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 $ # Permit Fee Paid $/ Park Dedication $
ISSUED BY Date l / gym /. Final /O.P. 0.30 -95
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Of' r d�� 9s
AGENT /OWNER / DA
ADDRESS
TELEPHONE #
APPL DATE PERMIT N0. 1
ADDRESS ' ?IJ/ � 13 e Uri [ C[
OWNER W (f 5 c-4
NATURE OF WORK
HEAftNG CONTRACTOR i3l` e c,v e r (� l
FUEL OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. AFC VENT
CHIMNEY: "A" "B" ?DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS ,o,5 f SYSTEM BTU RATING t'-?
MISC.
INSP. ROUGH IN FINAL LD /W/q,f
EST. COST /' ic?v - O"0 PERMIT FEES;Xo.c DATE PDA0e 4J"
REMARKS