HomeMy WebLinkAbout0026766-HVAC CITY OF OSHKOSH N°_ 26766
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG41 ELEC 111 PLBG C] SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Ot 851 non IC/alp //&C -�- PLAN NO.
OWNER f - - a4d -e / I RLJ 5c--4
DESIGNER j 4V
USE /NATURE OF WORK Wf �C' r New istewt `c___
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0 P ea./ . 1 i'
A/C Vent Fuel/ , /�
Heat ,> _ ~�
( ❑ ❑ System /l� Heat Loss �'S'�� /� BTU'S /��fl
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 $ /(3 z' - CD Permit Fee Paid $ 4, 9' �-C t/ Park Dedication $
ISSUED BY Date l/ /, VIY Final /O.P. 7 -,2 - ?,,?
In the performa e • his work I agree t p orm all work pursuant to rules governing the described construction.
7
SIGNATURE �v � --� /�� / j
illr
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL DATE /(Q /.P�0/ PERMIT 110. ,6 / o 4
ADDRESS ;P-e5/ /1‹,h / G /p // 12/
OWNER 6 ; / 9 ,. y-
NATURE OF WORK /1-,14/4-4-i - 9
HEATING CONTRACTOR Or L 1+77
FUEL: IV OIL ELEC. SOLAR SOLID
CONDITIONING ?ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" B DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING '7t,"� v
MISC. /
INSP. ROUGH IN FINAL '7/1-,Vy'y
EST. COSTOA /, CA7 PERMIT FEES p• 3 , v p DATE PD if l
REMARKS