HomeMy WebLinkAbout0046276-HVAC (a/c): �-�� �
� CITY OF OSHKOSH
N° 46276
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /� /.�I � 7��/ — PLAN NO.
OWNER �'T��e ,��f s�i�i
DESIGNER
USE/NATURE OF WORK /p!�� �G.
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HFATWC� C(�NTRACTOR G�.C � N Hi r L
�
� Heat ❑ A/C� Vent ❑ Fuel/System � Heat Loss � ���S� BTU'S���7 ,�".��
.
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 $ ��• Permit Fee Paid $ �1� �� Park Dedication $
ISSUED BY Date � � � Final/O.P. 9��
In the performance of this work I agre pertorm all work pursuant to rules governing the described construction.
�
SIGNATURE ° � �
AGENT/OWNER D E
ADDRESS C.CJ �� 'Z�(�� ;� �- 7' ] –� �o C��
TELEPHONE I
�
�
APPT. DATE � � PERMIT i10. �IG��G �
ADDRESS � �/3r G(J 7j�-�_/'�(/� -
�iWNE R S_ ��!f� f'_ �7 � Gj G�
.
�
NATURE OF WORK C
HEATING CONTRACTOR - G � ���
FUEL: CAS OIL EC. SOLAR SOLID
CONDLTIONINC FORCED AIR H.W. ELEC. BASE. STEAM '
SYSTEM RADIANT SUPPL.
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS �St��c`/- SYSTEM BTU RATING,��Z_;
MISC.
INSP. ROUGH IN FINAL �-5-l��
EST. COST�GC'� r Ch� PERMIT FEES j � �iY DATE PD �
REMARKS