HomeMy WebLinkAbout1987-HVAC (space heater) CITY OF OSHKOSH N2 02753
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 3 ,„ a 'r°-e'
PLAN NO.
OWNER 79 T 0 v) rai.
DESIGNER J /
USE /NATURE OF WORK (4210/a Gl, 5 0 c P # e.LZ' -L°i'' 5j: £ S'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR W .B f /ay / 77" 64?
e .......,
Heat A/C ❑ Vent ❑ Fuel /System /V- • Heat Loss r /�S'7 -/ h / BTU'S
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 . Of
at on $ ' 07,11 Permit Fee Paid $ s e'• ) U`� Park Dedication $
ISSUED BY o v " Date // 9 /f7 Final /O.P. .$1 .5h1
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
W11 , ,.y .1 i l 3 ®jd�
SIGNATURE 7
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AGENT /OWNER DATE
ADDRESS
TELEPHONE #
oe
PERMIT NO. 02 75T APPL. DATE / /j ��t
ADDRESS 13 R, t . Q O
OWNER /9 p T A/12
NATURE OF WORK fie e_ 1-p2,-e? eoceh
HEATING CONTRACTOR jJ S/p / / . C�¢ .
FUEL: OIL ELEC SOLAR SOLIDD
€ .
CONDITIONING OORCED AIR H.W. ELEC. BASE STEAM
SYSTEM ( GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
MISC.
CALCULATED HEAT LOSS J ,kli, SYSTEM BTU RATING Gp�,�]
INSP. RO GH IN FINAL 0787
EST. COST . CPERMIT FEES� 0-t,DATE PD 1
REMARKS /