Loading...
HomeMy WebLinkAbout0042515-HVAC (boiler) ~. CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD !7/~ N!-42515 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER / .~f;" ~ f1 f/lflf'5;U W -9V" fpt/ / .Ta j1~e,1? PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK J-' 1 . ..jl .~~ {{ e~/v~ e ik//>'.r' 1 (// 11 a.; I/CLL- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const, HEATING CONTRACTOR (/.:J ncft:,;1 hYh/ ~UM~rV- rJt-C- Hpat ~ AlC ijl Vent ISP Fuel/System -/I ~. Heat Loss /k ~rJ:l . Y- / #/~c:~ Y- o-mn ~/L- - , BTU'S Jl' ~ q&? ~ , i- 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 $ "p.. r~. ~ ISSUED BY ~e:-- Permit Fee Paid $ Date I ~q~. p.&j I ~/ <Jj '7Y Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ - Ij~ ill~~ AGENT/OWNER DATE ADDRESS TELEPHONE # APPI. DATE Itf d9~1 PERMIT MO. ~ftF/ 1;- ADDRESS , ,f'"'./}' ~ f:k; r f'!.1 '~O M cJ -' , OWNER' fa (.,; / .To h-S' en NATUQI1"OF WORK ~~~t2Cg ~O'//er ~1:j/<a~ ~L'iC- HEATING CONTRACTOR ('3 FU::lCJ~ '0 ~/ r'L' . r~ -- FUEL:~' @ OIL ELEC. SOLAR SOLID CHIMNEY: "A" "B" }/CbIRECT VENT CON. BURNER CALCULATED HEAT LOSS P'd" JJ.fJ? SYSTEM BTU RATINGI?~~(l7f't!? MISC. 'P INSP. ROUGH IN FINAL .t EST. COST 1L? CJt71J _~PERMIT FEES.lit:J. Pr:') REMARKS H.W. SUPPL. ELEC. BASE. A C STEAM CONDITIONING . SYSTEH