HomeMy WebLinkAbout0020481-HVAC (furnace & a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
20481
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
DESIGNER
7'/7
fMf1Py
~!ace- fVrnqc-e- 'r/-McI
f3 /5 )?za /1 L
LIYa it /'1r~H
PLAN NO.
ADDRESS
OWNER
USE/NATURE OF WORK
If-/e--
9./? iRe?
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
r.
. Foundation
Class of Const.
Ie -e.---/o - 2 e Vi '1f? ~ r
Heat ~ NC ~ Vent D Fuel/System N-G-;
Heat Loss r Y; f 3- T
#-~
HEATING CONTRACTOR
t
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
ISSUED BY
H t If 5'e-. o-CJ
~
Permit Fee Paid $
Date
5"/- d-C!/
~ &770
Park Dedication $
Final/O.P. J{J-/5 -50
FEES: Valuation $
In the performance of thO work I agree to perform all work pur~ant to rules governing the described construction.
~. if???
DA E
SIGNATURE
ADDRESS
TELEPHONE #
O,~NE R
NA1URE OF WORK
nEAllNG CON1RAC10R
FUEL: tiJ) OIL
CONUltlONlNG ORGEU AIR R ." . ELEC. BASE. SnA>1
S1SnM S1lP?L. y<1'/C ""Nf
CRIMNE1' "0" UlREC't VENf CO," OURRER
CALC\lLAnu REAf LOSS ~S1S'rEM OfU RAtlNG .
MiSC. I
INS? ROUG1I IN ~FINAL 6 ( "
ESf. COSf~FERMlf FEES~DA'rE FD <;)1 "1IP
REMARKS
SOLAR
SOLID