HomeMy WebLinkAbout030866 - HVAC (new home) CITY OF OSHKOSH N°_ 30866
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ►!" ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /?; 75.''. /Y7. J evJ--,fri a#1 PLAN NO.
OWNER De- Lt Jaen e- ,j'z. e 4 Q h
DESIGNER
USE/NATURE OF WORK /I—4 4- Ale ce> }kw,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 111-in 0 t°C_4 Ai J/-)
tHeat ■2.' NC ❑ Vent ❑ Fuel/System Heat Loss/4-s 139p BTU'S 4� ~
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
sh� Y
FEES: Valuation $ / 4t�� !� Permit Fee Paid $ 9 4" - Park Dedication $
ISSUED BY --,e--‘(4(--- Date 0,19 Final/O.P. /0?--ii • '7(2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 9/x"-/92,
AT /OWNER ATE
ADDRESS
TELEPHONE#
U'PL• DATE
..L i t 0 z.., i4,, i..
A
DDRESS 6PERMIT ,.....j..„Qtgtei....f...........s.__
OIdNFR
NATURE OF WORK L i J4_ C
NEATING CON eLt� 4_C�
TRACTOR �'
FUEL: ( ��� .
COND G ELEC.
ITIONIN ,; SOLAR
SYSTEM ORCED AIR SOLID
RADIANT H.W. ELEC.
CHIMNEY: SUPPL. BASE.
CALCULATED "An "B" A/C STEAM
HEAT LOSS '"RECT VENT
MISC.
VENT
INSP. SYSTEM CON.BURNER
ROUGH IN BTU RATING � .
EST. COST G
REMARKS ��� �Zr1 FINAL •r
PERMIT FEES ,( !`
�--�" DATE PD 9.