HomeMy WebLinkAbout0008617-HVAC (a/c) CITY OF OSHKOSH No 08617
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 27 /'a Akin 7c/a, -, pk, e., PLAN NO.
OWNER_Jd YI W /.l / /A il
DESIGNER
USE /NATURE OF WORK , d i/G 5' Rec).5'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 1A'/ ' 1PH - 2 - 4p 1'
Heat ❑ A/C .,I Vent ❑ Fuel /System Heat Loss rX 115'7`' BTU'S D` TO /7
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 $ i / 9.e2,_ �' Permit Fee Paid $ ,r GAO
/ � Park Dedication $
be-te ISSUED BY e Dat /19/6U Final /O.P. " 2 - 4 Fe
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE <kg 0 -- — 6/� 0,
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 066/7 APPL. DATE
ADDRESS P-7‘ Q 1`10 - 7(G p
OWNER To n / 7 an
NATURE OF WORK 4,50 //-
HEATING CONTRACTOR Cpddpn 7v7a / C� vh ce2 v�
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY LAIR COND.
CHIMNEY: "A" "B", DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS L �U 5`I - SYSTEM BTU RATING 2.17
MISC.
INSP. ROUGH IN FINAL 'J/
EST. COST /yea rr 2 PERMIT FEES JS : ' A TE PD 6///
REMARKS