Loading...
HomeMy WebLinkAbout0023177-HVAC (furance & a/c) � _ CITY OF OSHKOSH N� 23177 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � � � � PLAN NO. OWNER � �/ D I�- �L DESIGNER USE/NATURE OF WORK Ge ' G'�' _ ` BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR J� Heat � A/C � Vent ❑ Fuel/System � Heat Loss ����� BTU'S C� � 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 $ �7 vv - �� Permit Fee Paid $ `�- �� Park Dedication $ ISSUED BY , Date Final/O.P. �/� �'�1� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ���(',����d� �✓ � AGENT/OWNER DATE � ADDRESS �53�- �'. Bc'7✓T /_`�/'� ' �3.5�`� 73 Q 7' TELEPHONE# �� � APPL DATE � /f�g� PERMIT I�O.� �7 7 � � ADDRESS `G�IO T�GI�-SO{�J � OWNER /1 L/� ,�Ol�tDSOL�! � ��� c� NATURE OF WORK ��v�^��,e 9L _ HEATING CONTRACTOR �/jp�� }7�J2J �---T FUEL: AS OIL � 50LAR SOLID CONDITIONING ORC�D AIR H.W. ELEC. nASE. STEAM SYSTE�1 RADIANT SUPPL. C VENT CHIMNEY: ' "B" DIRECT VENT CON.BURNER CALCULATED HEAT LOSS �SO��r SYSTEM BTU RATING MISC. � ' L INSP. ROUGH IN FINAL EST. COST �/J'Q�_ �p PERMIT FEES �� (J�� DATE PD 3 J Q/ � REMARKS � � � �