HomeMy WebLinkAbout0012294-HVAC (furnace) CITY OF OSHKOSH No 1
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 0 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /, /y / 5f PLAN NO.
OWNER 1 ./ Glee? �j
DESIGNER /'
USE /NATURE OF WORK �Q L e' F4,)-1_,,w , dPe="5-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (N Ji: y ht " , //
c/.' Heat" ❑ 1
A/C Vent ❑ Fuel /System / 6 Heat Loss 4 t BTU'S t� 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 $ 4 I�. eAt9 Permit Fee Paid $ ,9 ‘ Park Dedication $
ISSUED BY Date 6V�/ Final /O.P. `OM
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
0/ 111Iprr, / 1
SIGNATURE -/ ii s' r d/ 9
e
AG NT /OWNER ATE
ADDRESS
TELEPHONE #
PERMIT NO . / 9`/ APPL . DATE //
ADDRESS_4 , 7
OWNER lap, c Q
NATURE OF WORK gileG u 01 a C �-
HEATING C RACTOR /ij 2f /P f ,/L
FUEL: OIL ELEC SOLAR SOLID
CONDITIONING \ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: '05 "B" DIRECT VENT CON. BURNER
CALCULATED HE LOSS F2`i7T SYSTEM BTU RATING 80,
MISC.
INSP . ROUGH IN FINAL
EST. COST (9 5 of)PERMIT FEES ye / DATE •D 2. 7 f/
REMARKS