HomeMy WebLinkAbout0016902-HVAC (furnace) CITY OF OSHKOSH N° 16902
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS O 3 3 CO /4 / , e `''f/C/ PLAN NO.
OWNER 6:--a /"/" r..- ri �/f c ?
DESIGNER }-
USE /NATURE OF WORK /) � �CG e /�U/'/?C 7--t; --
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR I/6 j 16
Heat b A/C ❑ Vent ❑ Fuel /System ....6„. Heat Loss,' )° /`r/ BTU'S Z1U�. _
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 $ / g'lI/e" Permit Fee Paid $ R 3 - ` ✓ Park Dedication $
ISSUED BY Date //9/9'O Final /O.P. T — 9 D
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
I / /
SIGNATURE _ �,. l /. "i / /9' 90
AGENT /OWNER �" DATE
ADDRESS
TELEPHONE #
APPL DATE .//g/ . PERMIT 110. / /,� /O
ADDRESS 9 36 Hip e `Q
OWNER oa:G r,-' 77' Q// c c
NATURE OF WORK r /C/C Ir r AlQ c
HEATING CONTRACTOR j _,(,J ky
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING \FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" • VDIRECT VENT CON.BURNER
CALCULATED HEAT LOSS �x f-5 7 SYSTEM BTU RATING bee
MISC.
INSP. ROUGH IN FINAL GIN Pe
EST. COST /c5 e , PERMIT FEES Z 3 ' DATE PD 1Q/9p
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