HomeMy WebLinkAbout0027226-HVAC (Furnace) CITY OF OSHKOSH N° 27226
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG T ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS $a'a /`( J aI *- 9 • PLAN NO.
OWNER %.7. '5 ep1' , ,..I
DESIGNER /
USE/NATURE OF WORK `QCe Fr/r hie-e- 2.-F:
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR CAI l5 ley
t___ Heat y., A/C ❑ Vent ❑ Fuel/System Heat Loss,,"/A0 T BTU'S 825;404e7-19
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
•
kLUMBING CONTRACTOR
-BT WH Disp WSoft CBasin
-Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ `"--
/ �• i� Permit Fee Paid $ /7--74 Park Dedication $
ISSUED BY Date "1 //9.* Final/O.P. - 3/- 9A
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
".1
�/ / /
— / -/1/1,--
AGENT
OWNER DATE
ADDRESS TELEPHONE#
PERMIT NO. 27,2x 6 ADPL. DATE 0 5/9/-
ADDRESS .0A9 Ai.. 1-ar k 5T
OWNER J05 e pI 571'e
NATURE OF WORK I ' a GJ/ -
HEATING CONTRACTOR Lti!�3-/"./ �Ai
FUEL: all OIL ELEC SOLAR J SOLID
CONDITIONING 'ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: "A" "B" `P DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS p--}pl57 SYSTEM BTU RATING $'j r/r-
MIA.
INSP. ROUGH IN FINALG
EST. COST j6vUp. (JC'PERMIT FEES /7, DATE PD ��°7"y0-
REMARKS