HomeMy WebLinkAbout0012344- HVAC (furance) CITY OF OSHKOSH No 12344
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 7 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 6' Z /V Aa1 5) r PLAN NO.
OWNER kiPU�/`/77- JL - /l op/ 1
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DESIGNER ---/.,
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USE/NATURE OF WORK ) /0i..-e-- / l✓I'n e' c-� 5`�' ` ''7
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR i/'` / a .e7 #rye-
IN Heat 'E' A/C ❑ Vent IllFuel/System ii 4 Heat Loss_ {G/�- BTU'S I j G�-P
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
`5�,� - /
FEES: Valuation $ / Permit Fee Paid $ QT6R�,1 o U`pp#Z ,,Park Dedication $
ISSUED BY ` � Date On C Itr�1,Ma's //0,?Final/O.P. Y/=0ty'
m
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ODOL-g— G`,,i- .// ?/.
AGENT/OWNER ATE
ADDRESS
TELEPHONE#
PERMIT NO. w/4 p7 7 APPL. DA'1'I r//U/dam
ADDRESS /c k i•67r k
OWNER e 5/'/Kk 5"'`/ )116w2 or ci ' h o N,/ 7-1
NATURE OF WORK U`- f fetce, Pf/'rea,Ce.
HEATING CONTRACTOR �ee{^7`,- cr ii
FUEL: A OIL ELEC SOLAR SOLID
CONDITIONING'�RCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: " "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS J y j`5'T SYSTEM BTU RATING
MISC.
INSP. ROUGH IN FINAL ,<: /f
EST. COST f 5dc.. Cr,J PERMIT FEES,,,\,1.a'A.., O TE PD ahO/y
REMARKS 45, ' ' 4 !' ''
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