HomeMy WebLinkAbout0011062-HVAC (furnace)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
11062
TYPE: BLDG D HTG rp ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
() ,? P.
/lark
H tl d/;;- CJ n
'5' Ghrn/d~
PLAN NO.
OWNER
DESIGNER
!7 1-j7/ac e ~Qj/ h-/17.o<<",-
/7; p- tYz05
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
1 HEA.TING'CONTRACTOR Lu t':? I;::'j' HJ;t' ,
~.Heat '199 NC D Vent D Fuel/System A/- r
V- C(y'
Heat Loss ~'""--f--I \:) T
BTU'S ?~ ~
./
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 _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ / ~l ~
ISSUED BY ~~
Permit Fee Paid $
Date
Park Dedication $
Final/O.P. :/. /f /?9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C~~eT
AGENT/OWNER
:/ ?7bd tff
/' DATE
ADDRESS
TELEPHONE #
PERMIT NO. f:J (t1t ~ APPL. DATE ~/?g-
ADDRESS .5 J ;Z ,/Vadf S~ /;?
OWNER Hal" k'::;-r:h /74Jdl-
NATURE OF WORK . f&/!ace- Ft/r~;;c e-
HEATING CONTRACTOR [u ~ 5' /0/ 11-79
/
FUEL:@ OIL ELEC SOLAR SOLID
CONDITIONING'~ORCED AIR H.W.. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY:. "A" "B" >?f'IRECT VENT CON. BURNER
CALCULATED HEAT LOSS rlf /'5'?- SYSTEM BTU RATING~ rkh".J
MISC.
INSP. ROUGH IN FINAL
EST. COSTtj~r ~PERMITFEES /tJ. ~ DATE
REMARKS