Loading...
HomeMy WebLinkAbout0017756-HVAC � CITY OF OSHKOSH N°_ 17756 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [�7 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . ADDRESS � �� � �/f� `IT` PLAN NO. OWNER�a�G[[L(� ,�ClC/ i'f` r� DESIGNER USE/NATURE OF W RK � J-� ��G� CX v� � j^ � � � � � : BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � Heat � A/C ❑ Vent�] Fuel/System �v�� Heat Loss ����% l BTU'S 7 U U � Gl��f'� C�'i� `+/ 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 '1p � FEES: Valuation $ �L C'��- �' Permit Fee Paid $ �/ '�� Park Dedication $ ISSUED BY � Date � `� Final/O.P. ''l " � 7–�U . In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ) � �- SIGNATURE � '��Z�� � �� AGENT/OWNER DATE ADDRESS TELEPHONE# tl � ` APPL DATE��� "`�. ��J'� PERMIT N0. / � �j � � ADDRESS �� �f L(� ��,�j j,�`- :i /� � ; OWNER �/�i���:/� i' � t ��f^e' �� NATUR6 OF WORK �'/� � �� �� �,�J_/y y'�= �J r j{� �i�!,2� � � NEATING CONTRACTOR �.p� f� FUEL: GA OIL ELEC. 50LAR SOLID � CONDITIONING "—''€bRCED AIR H.W. ELEC. BASE. STEAM � SYSTEM RADIANT SUPPL. � F � CHIMNEY: "A" "B" DIRECT VENT CON.BURNER ; CALCqLATED HEAT LOSS �� , �S l-- 5YSTEM BTIJ RATING 1�r�L � MISC. �:� � � INSP. ROUGH IN FINAL /� z`�-- EST. COST � � � ` /. ��_ G� PERMIT FEES f ��. �'`� DATE PD / � REMARKS ; i