HomeMy WebLinkAbout0015253-HVAC (furnace) 46) CITY OF OSHKOSH N2 15253
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6G4 Hi h sy ece4Q PLAN NO.
OWNER t/A' r y / P,-/i
DESIGNER
USE /NATURE OF WORK U 99 l a / - e P 5 1
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C ❑ Vent ❑ Fuel /System _ Heat Loss L X / i BTU'S /`tf?
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 $ V/ Permit Fee Paid $ 59.e Park Dedication $
ISSUED BY v Date TAY/87 Final /O.P. 9 — /R ' 87
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER / D E
ADDRESS
TELEPHONE #
APPL DATE_. 4¢ ` PERMIT 110. r
ADDRESS r / r Lr
OWNER r / ' el/
NATURE OF WORK if , ,
HEATING CONTRACTOR / A
, - AWL'
FUEL: OIL ELEC.
SOLAR SOLID
CONDITIONING ' IFORCED AIR H.W.
SYSTEM ELEC. BASE. STEAM
RADIANT SUPPL. i - ,
CHIMNEY: "A"
"8'
CALCULATED HEAT LOSS - � 7 ylIRECT VENT CON.BURNER
MISC. E-- SYSTEM BTU RATING
INSP. ROUGH IN
FINAL %r
EST.
COST &-p erp PERMIT FEES
REMARKS e DATE PD i� ,],
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