HomeMy WebLinkAbout0039529-HVAC (furnace) CITY OF OSHKOSH
N2 39529
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 0 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / c
,' /am/!9 erve' PLAN NO.
Da OWNER a le 54-4 U it
DESIGNER
USE /NATURE OF WORK "Tie/ P A. c .e.,— 4
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR c re H N y iS ii---27
R.....-- Heat 22 A/C Ve nt F t �r
❑ ❑ Fuel/System � H eat Loss � X/ S / BTU'S r� lh�t'�
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change El 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 $ J v- c-g-z9
Permit Fee Paid $ N 4":" Park Dedication $
ISSUED BY Date ( V A V 9 1 Final /O.P. / Q -e - [ y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0 —.erg _1.44.t.... •7/ - - ' y
/ AGENT /'/ NER DATE
ADDRESS t / 3 , '` D l / it �^. c
TELEPHONE #
APPL DATE, 5/ PERMIT 110. 7q1� 7
ADDRESS if,9 / r
kl�Ll xere
OWNER e J�?ulii cL, ,os^
NATURE OF WORK ge ,`'`sltc
HEATING CONTRACTOR ,7'j-' l5 j
FUEL: der OIL ELEC. SOLAR SOLID
CONDITIONING 4'ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. Aft VENT
CHIMNEY: "A" "B" %'DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS 4V/1r SYSTEM BTU RATING L-Ae."&'
MISC.
INSP. ROUGH IN FINAL Q/g/df/
EST. COST /55 "' PERMIT FEES,-4017 DATE PD g
REMARKS
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