HomeMy WebLinkAbout0005708-HVAC (a/c) CITY OF OSHKOSH N°_ 05708
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG yl ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS yo go fIO i PLAN NO.
OWNER Q J70rd I )1 L° Gh
DESIGNER
Y
USE /NATURE OF WORK . /// r
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR T '% - 7 e - m e°'-'
C ( i , Heat ❑ A/C y2 Vent ❑ Fuel /System r /ee-V Heat Loss g - % S BTU'S 1--e: 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 $ /OW- eV Permit Fee Paid $ /e• ' Park Dedication $
ISSUED BY r,• g_ Date /401/7 Final /O.P. / -4?-(r 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /e,e"---/ /� , e2
AGENT /OWNER DATt✓
ADDRESS
TELEPHONE #
PERMIT NO. e,5 , ' APPL. DATE /® /r /� _7
ADDRESS J/ for iO /?q
owNER Pi`c17apel
NATURE OF WORK Ai-OW 4/C_
HEATING CONTRACTOR ��,.e; -
FUEL: GAS OIL 41390 SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS '5 SYSTEM BTU RATING/2:1/7
MISC.
INSP. ROUGH IN FINAL / /9/ (7
EST. COST y , 1 a ERMIT FEES / �. ATE PD yO f j/8'
REMARKS