HomeMy WebLinkAbout0020476- HVAC (furnace)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
20476
TYPE: BLDG 0 HTG){] ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
7Lf/ 1)3/7/J7C1r?
!hrf1/v U../12 ;;/fr-e:: /1
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK ~ /'?Ce FL//'nt2ce
'7:F f?e-5
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
f.
Foundation
Class of Const.
HEATING CONTRACTOR ledn - ~-L'J17/l-en
L Heat W Ale 0 Vent 0 Fue"System jibe- Heat Loss f!}"''7v BTU'S 75/~
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Votts _ 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
FEER Valuation ~ u'-& Pe'mll Fee Paid $ ,P /. v'f!!J
ISSUED BY . Date ~ J/'rv:'
Park Dedication $
Final/O.P. /IJ - /5 -,0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUAE~ ff~ ?f~rP
ADDRESS
TELEPHONE #
AJ'l'L. DATE 9/ IJ/f 0 PERlUT NO. ;Z 0 Cf 7 {,
~S':...~ 71(1 if)/5mol' J-
Q\~NER fJ.ct r r yw..a hi f l''Cfl
NATURE OF WORK (lj.f! tlc-e.-- FurY/de ~
HEATING CONTRACTOR= Ie e/a ~L .e>M,lh er'
FUEL: rtj;i) OIL ELEC. SOLAR SOLID
~
CONDITIONING
SYSTEM
CHIMNEY: " "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS g:- \()( IS r SYSTEM BTU RATING 7 f; ~
MISC.
INSP. ROUGH IN FINAL ftJ Ii d f'tJ. ~
EST. COST l7~. 0-0 PERMIT FEES )-/, b-tJ. DATE PD 9/1 ff9tJ
REMARKS .
ORCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE. STEAM
Ale VENT