HomeMy WebLinkAbout0040892-HVAC (furnace & a/c)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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Ng-40892
TYPE: BLDG D HTG r2i' ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
c1C. &17 IJac-k~OV2 "9'1-'
H41r'-CCPf; fZ~5Y-~
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK~/~-C e. FVrUqL te
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BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
h. HEATING CONTRACTORJ" V / 1/ Q lei
~ Heat ~ AlC 1)!? Vent ~ Fuel/System
2e..e-lonJ
JL C~ Heat Loss ~ ~f'
BTU'S /jlP ~
,
01 ?--~h 4-/e-
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 ~:. cY7:? Perrnl' Fee Paid $ ~;y,. p-OJ
ISSUED BY Date gj .:2-/9.y
Park Dedication $
Final/O.P. q. ~ .1 f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE'])~ 7~,4@/~2eFU;AIj:JII&:hIl~ ~"L7'r
ADDRESS %JO ,$L?4s6:Z;. i/-fIe(,~ $:S~~ ,!!(cf!7J2J
APPT. DATE 7/ J1 r 'I PERMIT DO. '(t!7 8 / ~
ADDRESS 2& (!) I!) ,Ta c k ~(;? h
,
OWNER tiA r p "'5 f( '7'?7 1-
NA;URE OF \.JORK~!C;C e H,/ C
HE~TlNG CONTRACTOR rJOtlJ Va M '21"'"""'-1.0 hd
FUEL: (i!!!f;> OIL ELEC. - SOLAR SOLID
CONDITIONING
SYSTE~1
ORCED AIR
RADIANT
H.W.
SUPPL.
BASE.
STEAM
CHIMNEY: II A" "
CALCULATED HEAT LOSS 47
MISC.
INSP. ROUGH IN
EST. COST t,~(Jr?
REMARKS
DIRECT VENT CON. BURNER
~jJ SYSTEM BTU RATING /.~~h2Z)q.~7
FINAL
PERMIT FEES