HomeMy WebLinkAbout0027914-HVAC (boiler)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
27914
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
I Lj 7 WI 1'0' V 9h Parle- IJ-v t:-
v A- /) () (/ C IJ-(;
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK-h[flC e
O?CP/ I er
~~-F
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR Te~ - ,L-erlll1 er
Heat ~ NC 0 Vent 0 Fuel/System Ii ~. C;
Heat Loss ~ I~ T
BTU'S
~~~
,
t
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ ?-.~ ~ c.-Pt!?
ISSUED BY ~
V
Permit Fee Paid $ 9-6:.. t17:7
Date ~1//9~
Park Dedication $
Final/O.P. z.; -]'- '1~
iJ am all worl< p",""ant to ro'es governing the described const;~nl _ tf y
..~. . : AGENT/OWNER . DATE
~-t!J-o ~~J N,... '2J3J=;)If7o
TELEPHONE #
crh.Ud, iut; j-Yfo/
SIGNATURE
ADDRESS
APPT. DATE
ADDRESS
PERMITltO. J. 7r / 't
~p c.- ~ . Po r k-
OWNER
NATURE OF \olORK
HEATING CONTRACTOR
FUEL: @ OIL
ELEC.
SOLAR
SOLID
CONDITIONlNG
SYSTEH
FORCED AIR
RADIANT
W.
SUPPL.
ELEC. BASE.
A C
STEAM
CHIMNEY:... A" "B" DIRECT VENT CON. BURNER
CALCULATED UEA LOSS e: 'P{~r SYSTEM BTU RATING ~~
MISC.
INSP. Roucn IN FINAL
EST. COST ~t'z:JtP" c>& PERMIT FEES >f: 00 DATE PO ~ t:..-
REMARKS