HomeMy WebLinkAbout0041138-HVAC (furnace & a/c) No 5
CITY OF OSHKOSH - 41138
PERMIT -- APPLICATION AND RECORD -
TYPE: BLDG ❑ HTG V ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Ye 3 ! " e elea4 `J PLAN NO.
OWNER pa '/ idy acifrii bPey
DESIGNER / 2- �J'
USE /NATURE OF WORK �li� i_r/f"`tQGG� ��6G #/C_—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
72,1 HEATING CONTRACTOR ie.a5 / l cJ55 i h I S 17 f7 9` G
_ Heat Q9) A/C - Vent ❑ Fuel /System / s , a- Heat Loss /1°' k7T BTU'S D�� 4"
1
Q WC
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 '/F; fit Permit Fee Paid $ /3-0-0 ✓ Park Dedication $
ISSUED BY Date �/,,(,/ ` Y Final /O.P. ?' / 3 " / y
In the performance of this work I a•ree to perform all work pursuant to rules governing the described construction.
07/YY
AGENT /OWN TE
SIGNATURE COQ
4� `� f ,, �]
ADDRESS ` S + 7 S1- C /0 1
TELEPHONE #
APPL DATE ?/1 l PERMIT NO . y //,Y D
ADDRESS ;./
OWNER Pp UL SG'hgGei ``�rH
NATURE OF WORK �// - C - v ¢c
HEATING CONTRACTOR P1t5 rty( s S- N s /1-k7 # G
FUEL: OIL SOLAR SOLID
CONDITIONING FORCED AIR K.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. j/C VENT
CHIMNEY: "A" "5" y61 VENT CON. BURNER
CALCULATED HEAT LOSS x f rf ]~ SYSTEM BTU RATING de Geet9
fG
MISC. , .6Pl7
INSP. ROUGH IN FINAL 11/ /Pi*
EST. COST '37'f -o'c PERMIT FEES yy o DATE PD8 //7/ 7
REMARKS