HomeMy WebLinkAbout0019535-HVACCITY OF OSHKOSH N° 19535
PERMIT - APPLICATION C ON AND RECORD
TYPE: BLDG ❑ HTG (3 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS_ -/ pz7 l/� � /� y PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK J/ /7 %�. d eGG--
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
Class of Const.
# Stories
Height _
Occupancy Permit
(HEATING CONTRACTOR / G/
Heat Er A/C ❑ Vent ❑ Fuel /System — �'` Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT
Lav
WC
Sink
Other
WH
Disp
WSoft
CBasin
Sh
DW
DF
San. Sewer_
FDr
SP
Ur
Storm Sewer
LTub
Eject
SS
Water
FEES: Valuation $
ISSUED BY
/ �' C�
Permit Fee Paid $ '/ ��
Date ��,�`� 9l-
Park Dedication $
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0�J lt���cww`" 5�
AGENT /OWNER DOE
ADDRESS
TELEPHONE #
PERM NO. APPL. DATE
ADDRESS �y _� J-
�
ONER 4-1
NATURE OF WORK��
i
HEATING CONTRACTOR �,F' , %,d % J�;,✓�j�,L jury `.,�
FUEL: GAS OIL ELEC. SOLAR SOLID
CONDITIONING I Y`ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM
CHIMNEY: "A"
CALCULATED HEAT LOSS
C
LRECT VENT CON.BURNER
SYSTEM BTU RATING
MISC. ° �" _I
INS ?. ROUGH IN FINAL
EST. COST /i� o _ .i PERMIT FEES DATE PD " �O
REMARKS