HomeMy WebLinkAbout0018937-HVAC (furnace & a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18937
TYPE: BLDG 0 HTG.~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
;).'-0 I/-Vr'P!1 CI-..
,To rJ1 e- 5" '7-) h !h
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
~/a/:e j:ofl1QCe
9-. Mal de-
5~ p;; pes-
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
· HEATING CONTRACTOR T ~e1a - Ze~r] e r
[ Heat ~ AlC ~ Vent 0 FueVSystem /'t. Heat
ELECTRIC CONTRACTOR
Loss b'y,.,~(5P-
Electric Servo
New 0 Change 0 Temp 0
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 $ ~ Permit Fee Paid $ ~~ ch!7'/ Park Dedication $
ISSUED BY Date t; /I '3/ 9t!7 Final/O.P. f ~ J);;) - q tJ
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ k!/?i9~
ADDRESS
TELEPHONE #
miNER
~
SOLAR
SOLID
NATURE OF WORK
HEATING CONTRACTOR
FUEL: ~ OIL
CONDITIONING
SYSTEM
ORCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE. STEAM
Ic VENT
CHIMNEY: " "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS t=:iJ {~ I SYSTEM BTU RATING 7 -...
MISC. 4-
INSP. ROUGH IN FINAL
EST. COST Ifc~ C/7::? PERMIT FEES 4"0: cY-z?
REMARKS