HomeMy WebLinkAbout0002356-HVAC (furnace) CITY OF OSHKOSH N2 02356
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG y9 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 9 7 H / '', .,P. /I vaa PLAN NO.
OWNER (TO Y17 i 1 ?O 71(-( )
DESIGNER /
USE /NATURE OF WORK �� / ! ■ / / t'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ' Ha N, 1 5 ��/ /� .,�
t r.. _ Heat' A/C ❑ Vent ❑ Fuel /System A / (--' Heat Loss ?}' /5 J ii,73 BTU'S g rl/`fre
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 $ /4/61- at"' Permit Fee Paid $ / 0 a 7 Park Dedication $
ISSUED BY ■ 0 /'6(. ./ Date Final /O.P. . // I ,F ,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 27k7 yn ' /j)v‘
AGEN OWNER ) J A Ef
ADDRESS
TELEPHONE #
PERMIT NO. 1 4 APPL. DATE / { //d
ADDRESS ri/n r'c (PI (e✓lti"QI st
OWNER i701,7/1 /2o 9 °G('
NATURE OF WORK (Y l a C t F(J r^ f'! a C
HEATING CONTRACTOR ► l a ("A
FUEL: `e� OIL ELEC SOLAR SOLID
CONDITIONING 'bRCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: " " "B" DIRECT VENT CON. BURNER
CALCULATED HE LOSS FO/1 SYSTEM BTU RATING fvi 1 2
MISC. / "7
INSP. ROUGH IN FINAL / ,
EST. COS14 ERMIT FEES J q/. G ( Q .ATE PD • - REMARKS