HomeMy WebLinkAbout0021060-HVAC (space heater) CITY OF OSHKOSH N2 21060
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG i ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 9 q y / ,a ervo PLAN NO.
OWNER j--- 7 4, 7 ,7 /YC Car 2),
DESIGNER
USE /NATURE OF WORK (4194C- c 5 f` 4 `1 5 "
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
ATING CONTRACTOR 10 o1- l y 7T
Heat op A/C ❑ Vent ❑ Fuel /System 41*. Heat Loss Pi.. "7 BTU'S 0 - W "ce4be -ems
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 $ ,.�- Up Permit Fee Paid $ ...5
-•. / U Park Dedication $
ISSUED BY Date / . /mod Final /O.P. /o7 //V / 0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
-41 1� '/�
SIGNATURE . _'s/ 7Q/4 4
A ENT/OWNER ✓ DA
ADDRESS
TELEPHONE #
APPI, DATE rO / _ 6
PERMIT
ADDRESS 9 ,
OWNER
NATURE OF WORK
HEATING CONTRACTOR
FUEL: asa OIL ELEC. SOLAR
CONDITIONING SOLID
ORCED AIR H.W.
SYSTEM RADIANT ELEC. BASE. STEAM
SUPPL. A C VENT
CHIMNEY: „
DIRECT VENT CON. BURNER
CALCULATED HEA
LOSSJEka. �- SYSTEM BTU RA c'
INSP. ROUGH
EST. COST 52/1 FINAL � , e
REMARKS �'� PERMIT FEES ��-
DATE PD /p
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