HomeMy WebLinkAbout0017216-HVAC (furnace) 4r) CITY OF OSHKOSH N° 17216
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG „ ' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _ ✓ ° A PLAN NO.
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OWNER all , A -- e - ( Nct,
DESIGNER �
USE /NATURE OF WORK ()� /& t U`-.7&. e,� ,S/, i
A-)5”
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Ha /1–'7 Al - /L- yf c
Heat A/C ❑ Vent ❑ Fuel /System ,f N'" Heat Loss t11/4/ BTU'S Ol/`0 -�l
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 $ '7 / 9. Permit Fee Paid $ /5?• V Park Dedication $
ISSUED BY e— Date �j' //,/9 0 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � �� P` /V p0
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL DATE_ PERMIT NO..__ f
ADDRESS
OWNER ` ` -
NATURE OF WORK 416.:W
HEATING CONTRACTOR , -,
l Lh
FUEL: OIL ELEC.
SOLAR SOLID
CONDITIONING I ORCED AIR H.W.
SYSTEM ELEC. BASE. STEAM
RADIANT SUPPL. i ,,
CHIMNEY: " '
CALCULATED HEAT „B �IiIRECT VENT CON.BURNER
MISC.
EI1_SYSTEM BTU RATING
INSP. ROUGH IN
EST. COST _FINAL G /W!'i
REMARKS —'� _ FEES_Al . c� DATE PD riFr