HomeMy WebLinkAbout0016521-HVAC (furnace)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16521
TYPE: BLOG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
J/I;;
r~ h '"
f/-a r It ~-1
Pol/ett
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK Ppfk ce- FVI"'H d c- C-
5-F: R
B6iLDING CONTRACTOR
.'"t '.
Size
".
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
~. (
HEATING CONTRACTOR (IV ~ mf./L5 S----e-H S
Heat ~ AlC D Vent D Fuel/System ;'.1 L
#--7 ~ #/~
Heat Loss F V.,,~ r
BTU'S ~~~
,
t
ELECTRIC CONTRACTOR
Fixtures
Switches
Receptacles
. Circuits
>~
,17
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
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 $ fLt:hJ-O ~ cJ..i?
ISSUED BY ~ --
Permit Fee Paid $
Date
~/;o;;/
Park Dedication $
Final/O.P. -2"'1 J. - '7 ~
SIGNA TUR~ (j:J'-CJ.--~
"
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
(}.~~
~'"
\ C\ l r<:)
/14s!?;l
/ D E
C2-5) -& )~ 4
ADDRESS
TELEPHONE #
APFL. DATI! JI /~ Ii'? ~P-m1T-~ IlO. - It; J} J- /
NATURE OF WORK ~~~~ac; ~
REATING GOtrrRA"'; -cO/. _ "" WI "f!-'!f Y1IL.- -
FllEL' & OIL _ ELEG- SOLAR SOLID
GOND ITIONING ORGED AIR N . W _ ELEC. BASE - STEAM
SYSTEM RADIANT SUPPL. AlC VENT
CNIMNEY' "A" "B" '>"DIRECT VEtrr CON. BURNER
CALCULATED NEA~ LOSS";;: ~ '5" r __SYSTEM BTU RATING bO, fk'^'9
MISC. '
INSP. ROUeR IN FINAL I ~ tl
EST. COST ~ < ~ _PERMIT FEES ~ -S-e- 0-0 _DATE PD
REMARKS
"