HomeMy WebLinkAbout0043395-HVAC (furnace) CITY OF OSHKOSH N° 43395
PERMIT -� APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ►MMM ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 3 0 J`l..ze ti//o. P7 PLAN NO.
OWNER 5 "re t ' & Re_ 1 r
DESIGNER
USE/NATURE OF WORK Jr /i2Ce ../.iy
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Ha I' y i,L --
e Heat A/C ❑ Vent ❑ Fuel /System / r - Heat Loss !� 'e / BTU'S Le-°` 1i4�/`
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 $ L9, " • CJif:31 Permit Fee Paid 7,-e'42 "
$ � Park Dedication $
� a�" C�
ISSUED BY Date i 4/ 1 5-- Final/O.P. L I i Lc / qS
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -Jkail (Alia /4/g
AGENT / O R DATE
ADDRESS
TELEPHONE #
7 9 PERMIT NO. ? 395
APPL DATE./
ADDRESS 0 9 0 e 5 /7 e
OWNER S ref t/ e-12e
NATURE OF WORK 122/9 /" Q f C.! Fe" e `1 li e=
HEATING CONTRACTOR / SC, L�--
FUEL: 4 OIL ELEC. OLAR SOLID
CONDITIONING ARCED AIR M.W. ELEC. BASE. VENT STEAM
SYSTEM ` RADIANT SUPPL. A/C
CHIMNEY: "A"
"5" YDIRECT VENT CON. BURNER
CALCULATED HEAT LOSS Cy' 5 7 - - SYSTEM BTU RATING 4� tJ`
MISC.
INSP. ROUGH IN FINAL Lk'
EST. COST P.'OV. C. PERMIT PD PERMIT FEES 17
REMARKS