HomeMy WebLinkAbout0031574-HVAC (furnace)/~ CITY OF OSHKOSH N° 31574
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG '~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS ~ ~_~ W ~ ~ ~U e PLAN NO.
OWNER ,1, Q h ~~i// ~/GL
USE/NATURE OF WORK
~'1 QG -L
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
~~///J''~y HEATING CONTRACTOR ~~SrnySS~h J ~ ~~G'
PJ / /~ ~ ~.~ ~ 1
l///-~ Heat ~ A/C ^ Vent ^ .Fuel/System ~L~ (~- Heat Loss ,~~,~5/ BTU'SG~~ ~`?~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
BT _ WH
Lav Sh
- WC FDr
-Sink _ LTub
Other
Disp
DW
- SP
-Eject
- WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ ,/`~~ - ~~ Permit Fee Paid $ ~/~ ~ Park Dedication $
ISSUED BY ,` Date l,~ p/9~'" Final/O.P. ~~/~ ~~G~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
Ci.r~
AGENT/OWNER
ADDRESS_ I ~~ 1 ~
~~~~~
ATE
TELEPHONE #
APP7, DATE l`/ ~/9 ~ PERMIT 110. ~?
ADDRESS [~ ~ / ~ G! p`j __
OWNER _ /,/~! h SC ~ h7i GL
NATURE OF WORK Ii~~~Gc° ~f~`'!~ Q G ~
HEATING CONTRACTOR OGQ~`!?!/5'S ~H S G~'~-~ ~'~LC--
FUEL: ~ OIL ELEC. SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.
CHIMNEY: "A" "~' IRECT VENT CON.BURNER
CALCULATED HEAT LASS G ~T .T SYSTEM BTU RATING
MISC.
INSP. ROUGH IN FINAL / a
EST. COST ~F~'D`D _ Ci`O PERMIT FEES ~~~ DATE PD ~~ Q 92
REMARKS