HomeMy WebLinkAbout0021098-HVAC (furnace)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21098
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
6-LjI liqd/~e;n t:7/.
Me('frll R iJ~ld
,
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK~Lt:2C~ li--rnpce-
SF d~e>
.
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
~
t.!J Cl/n e,
HEATING CONTRACTOR
!
~ Heat ~ AlC D Vent D Fuel/System
N-t;.
Heat LOSS;;;- y::.J?v--
BTU'S ~~ v~
,
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
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 _ L Tub _ Eject _SS _ Water
Other
FEES' Valuation $ ~_
ISSUED BY ---
/
Permit Fee Paid $ f;.S-. ~ "
Date . /C?/~/-I.;;o
Park Dedication $
Final/O.P. /1- ,')-1 /}
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU~ ~
. GENT/OWNER
/tflb~/9~
/ 'DATE
ADDRESS
TELEPHONE #
APPI, DATE~ft7;l~ PERMIT MO. tP/t:J'f"p
ADDRESS ' o&f/ /'I",ck~(!)~
OWNER Ji#i-f11 tJ ;e-e/cI
NATUR~ OF \.JORK. ~kcc=... fi-"r~& e-e- 1-I,..)Yn-e-.
HEATD1G CONTRACTOR & &<./rz-eP'? :J ~b-7~'YO ::h:r-?%?~
FUEL: @ OIL ELEC. SOL~R SOLID
H. \.J.
SUPPL.
ELEC. BASE. STEAM
A C VENT
CHIMNEY: I I "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS .ffi;t"5'T SYSTEM BTU RATING 3"~ ~
MISC. '
INSP. ROUGH IN FINAL' ;9'P
EST. COST ~(. od PERMIT FEES !J.5'- ''''-0 DATE
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