HomeMy WebLinkAbout0016254-HVAC (furnace) CITY OF OSHKOSH N° 16254
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /0,I 7 H/ c4/ / Gss� PLAN NO.
OWNER V a lley `JV -5
DESIGNER
USE /NATURE OF WORK gif/tZ l(� P�.1- I a c r(sc Ar11
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /9 /47 P ! i C 0 , .�
C Heat r A/C ❑ Vent ❑ Fuel /System A1- Heat Loss /,i1' ft," 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
pac.)-21e. FT,e____
FEES: Valuation $ le gf , - C"`r Permit Fee Paid $ 11- •• L Park Dedication $
ISSUED BY - Date /A i Final /O.P. / - ` ` i ;2 d
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1` /bfry
AGENT /OWNER D
ADDRESS /A /4,4y -/ ,,7s "090
TELEPHONE #
APPL. DATE ///3//7 PERMIT N0.
y
ADDRESS O, 7 it
OWNER it • / A4 i..;
NATURE OF WORK '/ 4? e. L/ ,e Q
HEATING CONTRACTOR
FUEL: ® OIL ELEC. SOLAR •�
SOLID
CONDITIONINGRCED AIR H.W. ELEC. BASE.
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: 'A` "B'
CALCULATED HEAT LOSS �� �� CON. BURNER
CALCULATED BTU RATING
INSP. ROUGH IN FINAL
EST. COST ,Q'S; U` ' PERMIT FEES - 7
/707 REMARKS DATE PD /707
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