HomeMy WebLinkAbout0048352-HVAC (furnace)~'_pl,~
CITY OF OSHKOSH N°- 48352
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS U~~ ~ ~' ~~ ~~~ PLAN NO.
OWNER ~~ 4 !°l
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
Foundation
HEATING CONTRACTOR ~i°h ~ J. ~5~~`~ ~
Heat ~ A/C ^ Vent ^ Fuel/System /~--~ Heat Loss ~~ 5~ BTU'S ~ L~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT _ WH _ Disp _ WSoft - CBasin
- Lav _ Sh _ DW - DF -San. Sewer
. WC _ FDr _ SP _ Ur _ Storm Sewer
-Sink _ LTub _ Eject - SS -Water
Other
FEES: Valuation $ ~~~"/~ ` 7~ Permit Fee Paid $ ~~ ° ~~
Park Dedication $
ISSUED BY ~-~~ Date ~~~~~~~~ Final/O.P. ~~ f~- q~
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE o~6 p~~ 9 -'
AGENT/OW C., v DATE
ADDRESS ~ ~.3 ~P ~ ~ 7~
TELEPHONE ~
APPL DA PERMIT ft0 . / ~~ ~^ ~'
ADDRESS ~~~~~ ~I1 f~1a/'1 S~
OWNER ~~ h -
NATURE OF WORK G ~v QG~
HEATING CONTRACTOR T ~ ~ s ~ • ~ '~ ~O h
FUEL: AS OIL ELEC. SOLAR SOLID
CONDITIONING RCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A
CHIMNEY: "A" "B" ![Ztl:l vent vv... ovni•~~
CALCULATED HEAT LOSS~~ << ~ SYSTEM BTU RATING 7~
MISC.
INSP. ROUGH IN FINAL '~ (v
EST. COST ~~~~ ~ ~ ~- PERMIT FEES 3G ~ yO DATE PD ~~ 9
REMARKS