HomeMy WebLinkAbout0017295-HVAC (furnace) CITY OF OSHKOSH N2 17295
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS al ? /1;// 5/ PLAN NO.
OWNER ( G?r /e f`"/ 7
DESIGNER
USE /NATURE OF WORK (42141- f 4'f'I.1- L' 5- i 4 "
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Ra:11 /1 j'5 ,i f 7 54_ 77______#1. C.—
_ c Heat [ A/C ❑ Vent [11 Fuel /System AL - Heat Loss L ) /` 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
' d
FEES: Valuation $ / � tV • 0- 0 �Peermit Fee Paid $ .4' G � Park Dedication $
ISSUED BY_______________________________ Date ,/,...7/5 Final /O.P. 2 .25 - 5 0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE W Ct k "74 ���
AGENT /OWNER [ 7ATE
ADDRESS ` \ c 7 --' 5
TELEPHONE #
APPL DATE / V PERMIT NO. 1 72 9r
ADDRESS 2 � Nil/
OWNER ,I at ! e5�6 ��--
NATURE OF WORK P,pli4c' r/ y Gi �t -7° _
HEATING CONTRACTOR 6 S
FUEL: 411 OIL ELEC. SOLAR SOLID
CONDITIONINGRCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: 41 "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS Mc /5 T SYSTEM BTU RATING 7' j9
MISC. /
INSP. ROUGH IN FINAL �s O
EST. COST - c}{ , e---O PERMIT FEES ""`t DATE PD T V9,e,
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