HomeMy WebLinkAbout0021621-HVAC (furnace) CITY OF OSHKOSH N2 21621
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [V ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS A wf ,Shoes e td- ®cl p pip PLAN NO.
OWNER P.41/2 1 j 7' .
DESIGNER
USE /NATURE OF WORK 2Ce- FU /'i?QC e� 5-r. Res
_ 42/ BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0Smv$Si'N ( J 7
Heat p A/C ❑ Vent ❑ Fuel /System A-6 Heat Loss ri Vb ' .7 j BTU'S 15 ~3'
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 $ ! Q?, - C10 Permit Fee Paid $ ,- 7< le'
Park Dedication $
ISSUED BY Date /00/ 9 Final /O.P. / 2 S1 °j)
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURP( "\ CL-- L V ¢-,_
AGENT /OWNER ///,
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ADDRES " r 2� 5 --- (o
TELEPHONE #
APPL. DATE_ //// PERMIT NO . / '� f
ADDRESS , 9 /5 .5'h L< ..'0d' n
OWNER Ra ! n/h whr `f�
NATURE OF WORK /
tiQtr�LkC e FU r N a G z°
HEATING CONTRACTOR RG5/ /5 S
FUEL: ® OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" ■IRECT VENT CON.BURNER
CALCULATED HEAT LOSS e SYSTEM BTU RATING 4 a cry
MISC.
INSP. ROUGH IN FINAL ` �,y �!
EST. COST /945 _ mac, PERMIT FEES ¢ , DATE PD
REMARKS 44/Z62/9,0
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