HomeMy WebLinkAbout0036486- Heating (furnace) N2 36486
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG It ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /"1 N. L.&r k ' = PLAN NO.
OWNER liarshA' l/e 7 d /
DESIGNER
USE/NATURE OF WORK if.',/ _ ' U C
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR j, 71, 5/ 5 7'z 7--lok,
Heat [ A/C ❑ Vent ❑ Fuel/System /X-61. Heat Lossti%r- BTU'S 7 e)-0" '
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
-BT WH Disp WSoft CBasin
-Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
-Sink LTub Eject SS Water
Other
/'
h y s ,
/
FEES: Valuation $ ! ° C;4'' Permit Fee Paid $ 3 ` °J°15' Park Dedication $
ISSUED BY Date idfr%1fi Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE6—:::; ;)6.1° ''''"4/4''''"4/4 ./W//�
AGE ER DATE
ADDRESS
?.02K X4Ao
TELEPHONE#
APPL. DATE le9/32-0/919 PERMIT NO. 3o gi6
ADDRESS /OG'/ * i-ar k
OWNER / [ 4 11,Sit i lie,?scif/
NATURE OF WORK }Z / Lao fli'p, ac-
HEATING CONTRACTOR /JOth 55157G 7'%, 12
FULL: ® OIL ELEC. SOLAR SOLID
C9NDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" 'INDIRECT VENT CON.BURNER
CALCULATED HEAT LOSS 1.ri ?r SYSTEM BTU RATING 2W—Z7p`e7
MISC.
INSP. ROUGH IN FINAL
EST. COST y vi.,cA0 PERMIT FEES 0. c- DATE PD iO/, GJ9
REMARKS