HomeMy WebLinkAbout0025494-HVAC (a/c) CITY OF OSHKOSH N° 25494
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG [ j SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / //g Pew ees 11-, PLAN NO.
OWNER t t Te. C k low
DESIGNER 1
USE /NATURE OF WORK '`�
,4d2i . f Qe
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
E HEATING CONTRACTOR l a 6/a z. e ...t,t -
. Heat ❑ A/C Vent ❑ Fuel /S ystem —�,ec Heat Loss .. BTU'S i �y h
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 $ / V 0`0 Permit Fee Paid $I i (it'
Park Dedication $
ISSUED BY Date 9/A Final /O.P. 9— 's— 9(
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR z ��� Of./941
AGENT /OWNER A
ADDRESS
TELEPHONE #
PERMIT N0. ,'J APPL. DATE 4//5/er;
ADDRESS / & cv 2rts 5
OWNER fir T
NATURE OF WORK 444 4/6
HEATING CONTRACTOR J »2 V y_ 6
FUEL: GAS OIL c6g. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. >C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS el4S5r SYSTEM BTU RATING 1 yi- i4
MISC.
INSP. ROUGH IN FINAL
EST. COST / VIP - elf/ PERMIT FEES - DATE PD 0.5fri
REMARKS