HomeMy WebLinkAbout1991-HVAC (furnace) CITY OF OSHKOSH N2 25363
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Z p �' Q `e 6 c G /I G 4./ PLAN NO.
OWNER y U
(lad G L? 9
DESIGNER
USE /NATURE OF WORK Re-pill c c— r ce1a c 5-f RL°
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms . # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR / ` a 1 Y l /+
e Heat A/C ❑ Vent ❑ Fuel /System —�C` Heat Loss 1 )c I r BTU'S t ✓
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 $ 2 ‘ - Cie) Permit Fee Paid $ ,- 7 £ Park Dedication $
ISSUED BY Date 9 /1 Final /O.P. 99' S - `
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
`
SIGNATURE - 1 / 7 L - 1�1 1 --1 F 9//4/9/
AGENT /OWNER DATE
i »*--
ADDRESS
TELEPHONE #
APPL . DATE '' /9/ PERMIT NO . J�/�G 3
ADDRESS � y ' Q'[ i l e4OG[,
OWNER ,7v d y YOU t-,'
NATURE OF WORK gp.,h/C1 c P, 6, & !
HEATING CONTRACTOR !! //,/4 /}5.
FUEL: 404 OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR 5 ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: 0 "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS ,(ST SYSTEM BTU RATING // ✓?/'z9
MISC.
INSP. ROUGH IN FINAL 1
EST. COST �e2 ' -C49 PERMIT FEES ff`C UYJ DATE PD 9J/4 /q/
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