HomeMy WebLinkAbout0026541-HVAC (furnace & a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
26541
TYPE: BLDG D HTG LIP ELEC D PLBG D SIGN D ZONING
ADDRESS
OWNER
FLOOD PLAIN
HEIGHT
J ~JL?
r
5ve
tv jLI (/ jAde;? 0 1:-
LuHd-er'5"
.
PLAN NO.
DESIGNER
USE/NATURE OF WORK ~!4C e FvI"Yt ace ~ Md. ,/fie.-
Size
BUILDING CONTRACTOR
Sq. Ft.
# Stories
Height
Occupancy Permit
# Rooms
Foundation
Class of Const.
o I
HEATING CONTRACTOR--.JIL-&i' 5 m t./ 91 eMf
e- . Heat ~ NC ~ Vent D Fuel/System ,1. 0.
If-h! ~ hie-
Heat Loss F}LJ /"77
BTU'S be:, ~
.
q P. ~/J
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Fixtures
Type _ Volts _ Amps_
Switches
Circuits
Receptacles
PLUMBING CONTRACTOR
_BT
'J,
_Lav
___ WC
_Sink
Other
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_ Storm Sewer
_Ur
_FDr
_LTub
_SS
_ Water
_ Eject
Permit Fee Paid $
Date
'TtP~ ~ j
/.?-/"j9/
Park Dedication $
Final/O. P. j-;) --J q -- r; I
ISSUED BY
FEES: Valuation $ ':3 ?~.. cJ-t;1
~t:-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
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DATE:'
dS ~-, 54.1
TELEPHONE #
PERMIT NO. % ~&/ / APPL. DATE /)-/~/9/.
ADDRESS I '1;z. '7 w. H V /I'" do cK..
OWNER, '9ve khd-er5 ,
NATURE OF WORK . ~/ctr0- Fvrna~ ....-~ &/~
HEATING CONTRACTOR "'0''7' h1{/'il5~/.4 15 /:I?' 9- h/c-
FUEL: r9 OIL ~ SOLAR SOLID
CONDITIONING ~ORCED AIR H.W. ELEC. BASE . STEAM
SYSTEM' GRAVITY. SUPPLEMENTARY ~IR CONDo
CHIMNEY: "A" "B" )tbIRECT VENT CON. BURNER
CALCU1ATED HEAT LOSS EX;t~ T SYSTEM BTU RATINGt.-t'
MISC. ~
INSP. ROUGH IN FINAL. ".. 10/ .~
EST. cost q ~ . c.-<o PERMIT FEES ~t? ct'> DAtE PD
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