HomeMy WebLinkAbout014466 - Heating (add A/C) CITY OF OSHKOSH
N2 14466
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG V ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / d -/3 /eels i 7 ;/f,f ',iooJ-/ PLAN NO.
OWNER ,,ro l'7 I?'IQ 7 /1 f1/e15
DESIGNER ['//C-
USE/NATURE OF WORK—Adel g
-- ,� j
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR L- 1 j / Y / _
Heat ❑ A/C [ Vent ❑ Fuel/System Heat Loss -41:-TX: /
"7 7 BTU'S -7
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /- -731z. . r Permit Fee Paid $ , O L-J Park Dedication $
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ISSUED BY Date Final/O.P. g -5
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ������!� � , j
AGENT/OWNER 1 ,�'
TE
ADDRESS
TELEPHONE#
I-�G APPL. DATE —"'—
PERMIT NO• de
ADDRESS 1' T 1' ,
owNER • 7
NATURE OF WORK ,_,':,e Air (--
HEATING CONTRACTOR OIL LEC SOLAR SOLID
GAS
FUEL:
CONDITIONING STEAM
FORCED AIR H.W. ELEC. BASE.
RADIANT SUPPL.
�C VENT
SYSTEM CON.
„AI' DIRECT VENT B s
CHIMNEY SYSTEM BTU RATING
CALCULATED HEAT LOSS
MISC. FINAL -Jar. ROUGH IN DATE PD �;
EST. COST ' PERMIT FEES
REMARKS