HomeMy WebLinkAbout0032077-HVAC (furnace) CITY OF OSHKOSH N°_ 32077
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG NI ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS GI/ 7 Al l i ' ')47 PLAN NO.
OWNER V NL°G „Cary e/
DESIGNER
USE /NATURE OF WORK /QC e Ai rn a c 6 U l e t
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR lee? hi 5) 57 tki2t /1
F .._ Heat V A/C ❑ Vent ❑ Fuel /System 4.- Heat Loss ,EX f t j BTU'S 'V x`4
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 $ / Y6?19 e C�Pa Permit Fee Paid $ P 7 • c"-e- Park Dedication $
ISSUED BY Date /,/P - Final /O.P. (0 - o.S -- '
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE `x%' d-1-1 /J-/)/19
T /OWNER DATE
ADDRES AI AV ' D
TELEPHONE #
APPL . DATE, /%11///47P- PERMIT NO. .0 7 2
ADDRESS, / 7 iY,'`/ 5»
OWNER O r e7 /a c'S
NATURE OF WORK P..e f ICLe A1 ocG
HEATING CONTRACTOR Tee %h 5? 5Y2z R`i`o vl
FUEL: 400 OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" cAIRECT VENT CON.BURNER
CALCULATED HEAT LOSS e-Vi `S SYSTEM BTU RATING 6
MISC.
INSP. ROUGH IN FINAL 6 f J9
EST. COST /9.0'0.019 PERMIT FEES ,y, U-p DATE PD /� /st /if f-
REMARKS
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