HomeMy WebLinkAbout0030528-HVAC (furnace & ductwork)CITY OF OSHKOSH N° 30528
`► PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG V ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS I YpJ #W Ze ` PLAN NO.
OWNER Je' /°
If
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
# Rooms
# Stories
Class of Const,
Height _
Occupancy Permit
HEATING CONTRACTOR u " J1 '
Heat A/C ❑ Vent ❑ Fuel /System — A a — Heat Loss % � BTU'S __kl tllov
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT
WH
— Disp
WSoft
_Lav —.Sh
ISSUED BY
—DW
—DF
WC
FDr
SP
Ur
— Sink
LTub
— Eject
SS
Other
CBasin
San. Sewer_
Storm Sewer
Water
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AGENT /OWNER DATE
ADDRESS '/ C. ix
TELEPHONE #
FEES: Valuation $
549" ` CW
Permit Fee Paid $ 34f� C
Park Dedicatio''n$ Q
ISSUED BY
Dates �-
Final /O.P. r�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AGENT /OWNER DATE
ADDRESS '/ C. ix
TELEPHONE #
PERMIT N0.
APPI, DATE'' _ �
ADDRESS
NATURE OF WORK �`G "'`�-
HEATING CONTRACTOR SOLAR SOLID
® OIL ELEC.
FUEL: STEAM
K.W. ELEC. BASE.
ORCED AIR H.W. A
CONDITIONING RADIT
SYSTEM CON. BURNER
„A„ 8 IRECT VENT
CHIMNEY : ,�, _SYSTEM BTU RATING®-
—
CALCULATED HEAT LOSS°
INSP. RMt,n 1&I
PERMIT FEES
EST. COST J` —
REMARKS