HomeMy WebLinkAbout0026035-HVAC (furnace) CITY OF OSHKOSH N°_ 26035
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / c' d P /f < `d e PLAN NO.
OWNER Pjf d eh a Se
DESIGNER Ad
ac OF WORK LQGe F r »PC 5
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR u/ eS Let l y—
Heat [� A/C ❑ Vent ❑ Fuel /Syste /�� Heat Loss 4 �/ ( 5 - BTU'S 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 $ P y�• 0 Permit Fee Paid $ ,A 9 - !i`D " Park Dedication $
ISSUED BY Date fafrY /V Final /O.P. )/ - / 3" - °i J
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /0V/?/
AGENT /OWNER DA
ADDRESS
TELEPHONE #
APPL DATE `�// PERMIT NO. a(/ e .5r r
ADDRESS V 54 a t te've
OWNER teed Chace_
NATURE OF WORK U'p l Q.& Fv r h dC
HEATING CONTRACTOR tl.. /evr / -1-
FUEL: 401r OIL ELEC. SOLAR SOLID
CONDITIONING orPORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM ( RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" >$IRECT VENT CON.BURNER
CALCULATED HEAT LOSS L w/57 SYSTEM BTU RATING iPV /'O
MISC.
INSP. ROUGH IN FINAL / /N*/
EST. COST 9.-elf/V. , cw PERMIT FEES ) DATE PD/O,/0/
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