HomeMy WebLinkAbout0035914-HVAC (furnace) CITY OF OSHKOSH N ° - 35914
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS pig PLAN NO.
OWNER T - / U/
DESIGNER /
USE /NATURE OF WORK y4 1 2L e F'r' Li a c,�
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 1 /P y 11--)L7
Heat A/C ❑ Vent ❑ Fuel /System _6 ° Heat Loss 43"I7 BTU'S 7r PrAV
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 � �
- C119 $ �Jv� Permit Fee Paid $ Cie Park Dedication $
ISSUED BY Date ,//3`73 Final /O.P. J/0//4
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGE Or3
ADDRESS
TELEPHONE #
•
APPL . DATE, , /F/ . PERMIT NO. ?!f7:
` f
ADDRESS ; L9'19 j fl .o r .1?
OWNER )7( l 9� 11 2 c u/
NATURE OF WORK 4/14P c e. N- Q G'
HEATING CONTRACTOR /_ W C 5lr°y G7
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING y aFORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" 'B" ')DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS t yo j SYSTEM BTU RATING 7j' 4 ,
MISC. I
INSP. ROUGH IN FINAL //,'0/9/
EST. COST /`D2J.0•a PERMIT FEES 4 00. c.....e, DATE PD 9 /iv /f3
REMARKS