HomeMy WebLinkAbout0012256-HVAC CITY OF OSHKOSH N2 12256
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 1,39 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS u/ f Piefrk h/P PLAN NO.
OWNER (s`z'j /A p■`' RI, .c_J-7
DESIGNER
USE /NATURE OF WORK -, ' I g /, - w, i Al ' c '
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat F A/C ❑ Vent ❑ Fuel /System /i Heat Loss /95' / BTU'S 7
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp El 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 $ / y t Oa_ Permit Fee Paid $ 3 ®• ej--19 / Park Dedication $
ISSUED BY Date //vi , Final /O.P. n2- a -P9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / 3, O y
AGENT /OWNER ATE
T
1
ADDRESS 4e
f ► , 2.ff O j O
TELEPHONE #
PERMIT NO. 52 APPL. DATE /O c
ADDRESS , p
OWNER (2-203 - N 7 0 / ti S r 17
NATURE OF WORK N r a 1 / Alec e-/ i j P
HEATING CONTRACTOR jfO
FUEL: 46, OIL ELEC SOLAR SOLID
CONDITIONING 'ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND,
CHIMNEY: At 67 DIRECT VENT CON. BURNER
M CALCULATED HEAT LOSS ,41 i�//''7►2 SYSTEM BTU RATING 7/o e
INSP. ROUGH IN FINAL tit/ if EST. COST c) PERMIT FEES JODATE PD , /I / /f`9
REMARKS