HomeMy WebLinkAbout0001035-HVAC CITY OF OSHKOSH N2 01035
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 i2 C / C'e
PLAN NO.
OWNER ( P /p CO,"
DESIGNER
•
USE /NATURE OF WORK a - I 4 . AI . `.r- • f ,.,, '
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR a t t,i1 q `7 2 •
lA yfeat p A/C [13r Vent isip Fuel /System /V Heat Loss 11/14i -ej BTU'S 1 e
'7 ei.__ i" 62,z,
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 $ / h� C"
Permit Fee Paid $ ar Park Dedication $ ]
ISSUED BY , Date i ' Final /O.P. 9 S S6, 4` ��/ '2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �/ J�ii %acv t � /G - ` ��y�- ri:e., r/61/jr
AGE /OWNER /
ADDRESS <' 2f ,N - - e--e_ ,93/-__C.5 30
TELEPHONE #
I�,
PERMIT NO. APPL. DATE 4 /Vie
ADDRESS 96 r NNjep f7 °
OWNER
NATURE OF WORK ,(/J* • C 4/e e } / A-9.. / it i7`
HEATING CONTRACTOR re-a `^y' viryigt., 1711y
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONINGRCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" " DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS* / , SYSTEM BTU RATING /4/4
MISC. // 9� , �-- } / 570 '
INSP. ROUGH IN FINAL /77;T /f 7
EST. COSI 3 p, a- ' PERMIT FEESbr/ 3, 4z, DATE PD � /AVZ
REMARKS l