HomeMy WebLinkAbout0008184-HVAC 4.) PE CITY OF OSHKOSH N° 08184
PERMIT _ APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS y SQ/ f )G-1C? i k' PLAN NO.
OWNER____aGL 4.e141- _ p L/ SCr
DESIGNER
USE /NATURE OF WORK • - _.e r 4 - -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ' Occupancy Permit
HEATING CONTRACTOR 79"� 14 /' /'cO f f�
c Heat 71 A/C ❑ Vent ❑ Fuel /System A 6' - Heat Loss 4 j of BTU'S if,
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 $ / lgw,J'�o_ CA LI Permit Fee Paid $ / ?, G`'9 ✓
Park Dedication $
ISSUED BY , A Date Pi f Final /O.P. 9 - 2 7 . F
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . _ ��
A T /OWNER D E
ADDRESS //29 j %��`C.- , Z3 S ^ _ PPP '„ n ' ��
1 v ifv
/ TELEPHONE #
PERMIT NO. Eie /Fy APPL. DATE 1 / 1 4/ ,P,
ADDRESS at 0 O/ / S -h/ y` p/ c
OWNER A2 ' € r- i Vs
NATURE OF WORK -e -f- i /
�ld� vn P
HEATING CONTRACTOR #`J? 7N i'e'a G, be?
FUEL: 6 OIL ELEC SOLAR SO ID
CONDITIONING ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: "A" "B" RECT VENT CON. BURNER
CALCULATED HEAT LOSS f i p SYSTEM BTU RATING
MISC.
INSP. ROUGH IN FINAL p� G�
EST. COST i f�j, cr`p PERMIT FEES /7. G 6 D ? D ,3-- / i�
REMARKS