HomeMy WebLinkAbout0014515-HVAC (furnace) cii-D, CITY OF OSHKOSH N° 14515
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 t / 5h0A e t v crtdt/ PLAN NO.
OWNER V `1 AL I°,S' i/ 7
DESIGNER rr__
USE /NATURE OF WORK4 PG/ !"IZr3 < P S id e15
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR KO' Fj d!? // /el t e ill h' 1
Heat NC ❑ Vent ❑ Fuel /System AI A Heat Loss tjet /s V BTU'S / 011. n 7-1 e 7
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 $ // r C Permit Fee Paid $ / i 1;4- / Park Dedication $
ISSUED BY `_____ - 'te!-- Date 7/540/ 8 Final /O.P. Vi2cy 89
In the performance of this work I agree to perform all work pursuan..o rules governing the described construction.
SIGNATURE rAiNJ t..1 " // 1'olff,7
` IT /OWNER DATE
ADDRESS
TELEPHONE #
APPL. DATE %/6 PERMIT NO. /
• ADDRESS,
OWNER 7" Al &5 f. /
NATURE OF WORK 1291/0,--- e i,rh ,2 4 'e-
HEATING CONTRACTOR ., •� - - . `,/ r
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING 'ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" kAIRECT VENT CON.BURNER
CALCULATED HEAT LOSS yGi`S SYSTEM BTU RATING /O!9 e2
df
MISC.
INSP. ROUGH IN FINAL 9 /�WEY
EST. COST 33,x. G`O PERMIT FEES yL/.. DATE PD /G"./
REMARKS
f