HomeMy WebLinkAbout0030043-HVAC (furnace & a/c) CITY OF OSHKOSH N° 30043
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6/ O /I/ /T /) e 5
t PLAN NO.
OWNER C., f five UJ-e. v2 el--
DESIGNER
USE /NATURE OF WORK 63/1142-er e r' r/-tae 4 p' /
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR l 0 Z, 5 J ,� / 5 , t ) ( 1%9
E , Heat V A/C Fp Vent ❑ Fuel /System �L C - Heat Loss �ti°/ S 7 BTU'S ip
G r 9- / hysi /AIL—
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
— BT _ WH _ Disp — WSoft
— CBasin
_Lay _ Sh _ DW _ DF _ San. Sewer
— WC — FDr _ SP _ Ur _ Storm Sewer
Sink _ LTub _ Eject SS
Water
Other
FEES: Valuation $ vY .- C 4Zrmit Fee Paid $ g C1
Park Dedication $
ISSUED BY Date W92--
Final /O.P. /OW" 9a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Gf-- � G
AGENT /OWNE ��
.,� DATE
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ADDRESS ' c/ 0 /7j ��
TELEPHONE #
APPT. DATE Q� PERMIT NO. 3 y
ADDRESS I / jh Ai t. 544cy
OWNER e -PqJr1!^
NATURE OF WORK C: / vN ,��� G
HEATING CONTRACTOR 10) 57; : 5 47h /Ve `,
FUEL: 4101 OIL ELEC SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. p/c VENT
CHIMNEY: "A" 7ODIRECT VENT
TON. BURNER
CALCULATED HEAT LOSS
591 SYSTEM BTU RATING rook
MISC.
INSP. ROUGH IN 9- / rA
FINAL ion
EST. COST'y100. ao PERMIT FEES g ''. - ,erg DATE PD