HomeMy WebLinkAbout0021423-HVAC (furnace)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21423
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
91'9 fi5Th?On
t)~n C4//tl1p5
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK ~pla~p-- .FtYr 17 h L ~
;7: F tf?~ <::'
.~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const. Occupancy Permit
HEATING CONTRACTOR 1--14 r)C 11-"'1
[ Heat W AlC D Vent D Fue~/System /{Lv.-
Heat Losst:"V/1$'r BTU'S 71; ~
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 _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEER Valuation $ /~
ISSUED BY
I
# I
Permit Fee Paid $ &'J' - c/""C>
Date /r/o/f~
Park Dedication $
Final/O.P. 1:2/17/<)0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
M
~
J/r9~
DATE
ADDRESS
TELEPHONE #
APPI. DATE I~/ p-r/?t:' PERMIT NO. dl/ ~/;.?
, /
ADDRESS 19 <7 G~1/nqn
OWNER DhY1 ea/k/n5
NATURE OF \.JORK ~J~c~ Forna_ct!Z-
HEATING CONTRACTOR--.-:.Ha jIl JC IJ-iy
FUEL: @J OIL ELEC. SOLAR SOLID
CONDITIONING
SYSTEH
aRCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE. STEAH
A C VENT
CHIMNEY: '" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ~~/(~;- SYSTEM BTU RATING ;7~~
MISC.
INSP. ROUGH IN FINAL /7 fo
EST. COST Io/~ "5. P'7:' PERMIT FEES ftCJ. t::>r'.J DATE
REMARKS