HomeMy WebLinkAbout0041757-HVAC (furnace & a/c)~~
CITY OF OSHKOSH N°- 41757
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / ` ~~ 1~' e~S~`h A~ h PLAN NO.
OWNER
Q l2
DESIGNER
USE/NATURE OF WORK _,~IL~cB Fy~'Kctt'B ~-/~G~' ~G
BUILDING CONTRACTOR
Size
Foundation
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR/~~'~~.°~ ''//
Heat ~ A/C ~ Vent ^ Fuel/System 1~~- Heat Loss ~ ~~ ~~ ~ BTU'S ,~Bf ~~
~h ~~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles 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 $ ~ ~~ ~C~ Permit Fee Paid $ ~~~- ~JQ ~ Park Dedication $
ISSUED BY ~~~ Date g~y~Q~- Final/O.P.
In the performance of this work 1 agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
Sq. Ft
# Rooms
~4 L/
TELEPHONE M
APPL DA'~'F~ ~Q~- PERMIT 110. If ~` v
ADDRESS ~_~lO /~sj/l~,~gH ~~
OWNER ~ L°/` ~ G{~I / `G h 9
NATURE OF WORK ¢L e !~ G~ L
HEATING CONTRACTOR 1~~ S' ~c~
FUEL: ® OIL SOLAR SOLID
CONDITIONING- ~ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.
CHIMNEY: "A" "B" ~'BIRECT VENT CON. BURNER
CALCULATED NEAT LOSS ~iG~`~ SYSTEM BTU RATING O py~/~O
MISC. L
INSP. ROUGH IN FINAL '
EST. COST ~j ~'Q~d_ Up PERMIT FEES , ~tD DATE PD f ~
REMARKS