HomeMy WebLinkAbout0017294-HVAC (furnace) CITY OF OSHKOSH N°_ 17294
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /1' J /''f• vj 4 I A PLAN NO.
OWNER F 4 JL_ ,4, f
DESIGNER
USE /NATURE OF WORK /4V' e FG",t"n & e -e D Ujn / l
z°-y
v
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR � // X �' / Pala" It C---- i �
Heat A/C ❑ Vent El Fuel /System /1� �` Heat Loss E-j /j',,) BTU'S 7
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 $ e Cie Permit Fee Paid $ 1/' Park Dedication $
ISSUED BY Date f /p *9.e Final /O.P. '"I- 9 O -9 O
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Al it-6- d
V--.04a AGENT/OWNER �/�
V.}y}y2 TE
ADDRESS ‘. ? r,-.6 , V 1
TELEPHONE #
APPL DATE 9/; ` , D PERMIT NO. / 7,
ADDRESS // 9J ,'nn,.ep--
OWNER - /124 k j -P G/ <--el /'
NATURE OF WORK OZ l2'C FUrx-i aG —
HEATING CONTRACTOR f / 0 S 5 P/-7 `.5--C_
FUEL: a lp OIL ELEC. SOLAR SOLID
CONDITIONING �h'ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM ' RADIANT SUPPL. A/C VENT
CHIMNEY: 6 "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING �� '
MISC. /
INSP. ROUGH IN FINAL ,C1/ /t0
EST. COST ?- / 2L9. PERMIT FEES 14 a`7, DATE PD--)7,./9e'
REMARKS
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