HomeMy WebLinkAbout0041304-HVAC (furnace) if Z
CITY OF OSHKOSH N2 41304
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG E' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS £ 3 0 /1i') e rive? PLAN NO.
OWNER iVaP #'e I,
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR G
Heat NC ❑ Vent ❑ Fuel /System �.�� Heat Loss k W2 . r BTU'S /1v0 c
C r e ,q Y2,w friG
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 $ 9 J 6 V O Permit Fee Paid $ 1 0 . Park Dedication $
ISSUED BY Date /)/ 9Y Final /O.P. 9 •c: . 9V
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ` lit, , e c st,G
AGENT /OWNER / DA
ADDRESS
TELEPHONE #
APPL DATE, h/.41541 PERMIT 110. ji f l
ADDRESS D 3 O / y L°/'!/Q_
OWNER k t r y l e i
NATURE OF WORK tfifce 9 /G
HEATING CONTRACTOR fl' e./Y. ,/1/r Jiti.i
FUEL: 192 OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. - 54PATC - VENT
CHIMNEY: "A" "B" riDIRECT VENT CON. BURNER
CALCULATED HEAT LOSS r yo I'S' T SYSTEM BTU RATING i
MISC. of RATING
fl p
INSP. ROUGH IN FINAL 04,Qr
EST. COST 1426 PERMIT FEES 5/jt, et, DATE PD 1010
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