HomeMy WebLinkAbout0015243-HVAC (a/c) CITY OF OSHKOSH N° 15243
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 5 e' 3 He i7 nee—
PLAN NO.
OWNER '5 / ( e t°
DESIGNER
USE /NATURE OF W ORK 45: If/C 2 �
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Tee 1Gj - Z r4 h e'
t ...„, Heat ❑ - A7C Vent ❑ Fuel /System l' a` Heat Loss I S T BTU'S `
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 $ Q -C k _ t7'f.
Permit Fee Paid $ /�y �'� Park Dedication $
ISSUED BY Date J 17`rl . Final /O.P. //'r " 89
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
IlAt I
SIGNATURE L_N.
AGENT /OWNER �/T 017
DATE E
ADDRESS
TELEPHONE #
APPL. DATE Ct PERMIT NO.
ADDRESS Q a f el
OWNER -eV/
NATURE OF WORK Af /,) 4 (
HEATING CONTRACTOR
FUEL: CAS OIL r ELEC.
� SOLAR SOLID
CONDITIONING FORCED AIR
SYSTEM H ' W ELEC. BASE. STEAM
RADIANT SUPPL.
CHIMNEY: �C VENT
CALCULATED HEAT LOSS s�` DIRECT VENT CON.BURNER
MISC. _SYSTEM BTU RATINGa> y,
INSP. ROUGH IN
EST. COST FINAL �' ;
� - (J PERMIT FEES_ f c DATE PD
REMARKS