HomeMy WebLinkAbout0016056-HVAC (furnace & a/c) CITY OF OSHKOSH N2 16056
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ce ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7c. 7 /O /rO` L' PLAN NO.
OWNER 9,i,' 7 c/ j --G Gk/ _5' 4
DESIGNER �,�
USE /NATURE OF WORK Q e e Pei y' Q e 9 -44� .CA -- f -F i ?
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR L.-0-e' f AV y 7
Heat WA/C !°�� Ven ❑ Fuel /Syste ✓i '` Heat Loss `,= 4 t 5 7 BTU'S ,e eire 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
FEES: Valuation $ P c--t Permit - 47`e)
e it Fee Paid $ � � Park Dedication $
ISSUED BY Date 7d / /.8, Final /O.P. //` Z '8 e f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE :6F Tt /e/7/6e7
AGENT /OWNER DA
ADDRESS
TELEPHONE #
APPL. DATE__JX yf 49 PERMIT 140. 6 0 5
ADDRESS •
OWNER / i ` Q
y
NATURE OF WORK /P, / -
+ /40
HEATING CONTRACTOR
FUEL: 400 OIL SOLAR
SOLID
CONDITIONING 'ORCED AIR H.W.
SYSTEM ELEC. BASE. STEAM
RADIANT SUPPL. ,.•�C VENT
CHIMNEY: "A" "B"
CALCULATED HEAT LOSS •EIRECT VENT C.BURNER
MISC. ( 'S- .SYSTEM BTU RATING d'Gt
INSP. ROUGH IN
EST. COST �,yE FINAL
REMARKS PERMIT FEES DATE PD