HomeMy WebLinkAbout0032076-HVAC (furnace) CITY OF OSHKOSH N2 32076
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS g '7 Nil/ Of PLAN NO.
OWNER 6" re- ? /e-Ll r f C/ 5
DESIGNER
USE /NATURE OF WORK ge-place ii-Urn 4G ,e_ p t/p / ey
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
- 1EATING CONTRACTOR Te $i ih 5 T• 5) � / r d 1-
1�
Heat A/C ❑ Vent ❑ Fuel /System /1(_ Heat Loss �d 5 J BTU'S 77 L �
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 $ EP a'e7J 4 CAD Permit Fee Paid $ P,5"; c ' v Park Dedication $
ISSUED BY Date /A// Final /O.P. 00
In the performance of this work I agree to • - ■ • 1 all workk pursuant to rules governing the described construction.
SIGNATURE G ��� ! , 0� �3!�' r�
T /OWNER
�i DAT
ADDRESS (/ v
TELEPHONE #
APPL . DATE /� f� `f Q 0- PERMIT NO . 5.o 7G
ADDRESS s rli`! sY'
OWNER v N e //a ,y , 5
NATURE OF WORK Ia LC[G$ R'rti Oc Dv l e
HEATING CONTRACTOR °T'e K k S ?, j /q l'O h
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING JORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: TO "B" DIRECT VENT
CALCULATED HEAT LOSS CON.BURNER
CIC. l SYSTEM BTU RATING )4
INSP. ROUGH IN FINAL 0 5 799
EST. COST gQ o . cAp PERMIT FEES A37 € 7o DATE PD f
REMARKS��119�-
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