HomeMy WebLinkAbout0000344-HVAC (furnace)/~ CITY OF OSHKOSH No -00344
`" PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS 'h ~'
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Height _
Occupancy Permit
HEATING CONTRACTOR-
Heat '~ A/C ^ Vent ^ Fuel/System
V /
# Rooms # Stories
Class of Const.
J~`~
Heat Loss ~ ~ BTU'S --.
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
-BT WH
- Lav Sh
- WC FDr
-Sink _ LTub
Other
- Disp
- DW
SP
Eject
Volts Amps
Circuits
WSoft
DF
Ur
SS
- CBasin
-San. Sewer_
- Storm Sewer.
Water
FEES: Valuation $ Permit Fee Paid $ ~~~ G`~ Park Dedication $
ISSUED BY Date Final/O. P. ~ 6 ~ 3 d _ ~~
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
PLAN NO
Sq. Ft.
ATE
TELEPHONE #
PEHt~tIT NO . _._~~1~~ y~ f _ APPL . DATE ~~~v
ADDRESS ~ 7 J4 /J~ ~, ,~~ .
OtZNER _~c ~ r . ~Gr b (~I~rc> ~~' /
NATURE OF WORK „~
HEATING C CTOR
FUEL OIL ELEC. S0 SOLID
CONDITIONING RCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
L1iLMNEY: "A" "B" DIRECT VENT... CON. BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING / ~,SQyt~
MISC.
INSP. ROUGH IN FINAL D p
EST. COST ~_/.7 d~O . ~ .PERMIT FEES~(~ ~ O'`p DATE PD
RESARKS