HomeMy WebLinkAbout0010061-HVAC (furnace &a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10061
USE/NATURE OF WORK
713 -; f//ckory
DI?Y/ f/andy
n If/tu:e- F{L~nac e
OWNER
DESIGNER
~ !idol J:r'j c
~ F: Re<"
F ~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
~ HEATING CONTRACTOR H a r )C
L 'rleat ~ NC ~ Vent 0 Fuel/System
/-/-1;-
!l-t2.
Heat Loss ,t::~ I '5 T
BTU'S tee ~ '7'=
P- ~17~/~
"
ELECTRIC CONTRACTOR
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 $
ISSUED BY
'0 ? ~... P-CJ Permit Fee Paid $
~ t'~ Date
/
q~ ~ ~/
l~y<T r
Park Dedication $
Final/O.P. 9 -d~ ~g8
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~iJ! <;?~~~
AGENT/OWNER
~:r/-Yr?
DAT~ .
ADDRESS
TELEPHONE #
PERMIT NO. ~I tJr:;lt./ APPL. DATE ~5i ? cR
ADDRESS ?<f~7 ih\cko7 Lou~
WNE~ ~&~qhd~
NATU~ OF WORK lace. /I/ln/Z ce aiM/hIe
HEATING CONTRACTOR H d /' Y f-I-17
FUE~ OIL 8 SOLAR SOLID
CONDITIONING~ORCED AIR H.W.. ELEC. BASE ... STEAM
SYSTEM GRAVITY SUPPLEMENTARY~IR CONDo
CHIMtfEY: . "A" liB" DIRECt VENT col't. BURNER
CALCULATED HEAT LOSS h [" '5 r- SYSTEM BTU RATING && .Dr/"O
MISC. )
ll'tSP. ROUGH IN FINAL
EST. COSt'~/)L?~~PERMIT FEES 1,/.Ct?DA'fE PD I
REMARKS