HomeMy WebLinkAbout0004445-HVAC 40.) CITY OF OSHKOSH N° 04445
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS___0312___Wa_re.-L7 £IJ
CC ! PLAN NO.
OWNER JT�'czP �`? er Perm'." vT 7-
DESIGNER
' USE /NATURE OF WORK 't ° Ct' t' - / Ne tie n-71,...-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR J Ca — zet r .T�i r
�
Heat 2n A/C Vent El Fuel /System Al o- - Heat Loss 445 Ibl BTU'S 5 e: i Odre Y'
a 73h )9-k
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 $ '4 - �'e 3. '1
Permit Fee Paid $ 9�G�`0 Park Dedication $
ISSUED BY 00:6 4 Date 7/3/g Final /O.P. 7 /F/e7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � 7 / If/e2 7
AGENT /OWNER /
DATE
ADDRESS
TELEPHONE #
PERMIT NO: V- (7 1 5 APPL. DATE 2/%247;7
ADDRESS 1 1 j 3 e2 pr c /� . /
OWNER 1�1�/ �S /�` / [ ' c4 7
NATURE OF WORK /,7°a ) /A Je w Je9m °z
HEATING CONTRACTOR / Gr-letz .2 efri `v-, eI"
FUEL: ib p OIL 440 SOLAR SOLID
CtNtDITIONING FORCED AIR N.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL /C VENT
CHIMNEY: '+A " K.�b�
CALCULATED HEAT LOSS / L� DIRECT VENT CON. BURNER
JS /�9p• SYSTEM BTU RATING R70,4?7
MISC.
INSP. ROUGH IN 0' , f�-7n h /G
FINAL �,
EST. COSTg,9�. Oc, PERMIT FEES
REMARKS // DATE PD-07/09