HomeMy WebLinkAbout0045007-HVAC (furnace & a/c) 3O
CITY OF OSHKOSH N2 45007
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 , S/! e/' e'd? h PLAN NO.
OWNER � 6Y w e n
DESIGNER
USE/NATURE OF WORK 12-V14 c F ,"sz 9- C 'Krie i G
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
16 2 HEATING CONTRACTOR ish-ju 55 ��' 5 ' I / G- ,z ..
Heat [) A/C ge Vent ❑ Fuel /System N- l: Heat Loss kW/ BTU'S d e.O
/7
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 $ ' / 4 0-.0 Permit Fee Paid $ / 7 ` !r p Park Dedication $
ISSUED BY Date 57� 7`7, Final /O.P. a -7 3 • 91e
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 3/1 7 /gr
rr AGENT /OWNER ATE
ADDRESS l� . . Z� S� S7' _ i
TELEPHONE M
APPL DATE 67 95 PERMIT NO. / ��z -
ADDRESS 6 3 5htvr'i t A;
OWNER eQ ®GC/e ii
NATURE OF WORK >1 c 6"/ 0' Y -1k rif ac . lQi�
HEATING CONTRACTOR e 3—A1U 5,e ' r 9`' /�Y -
FUEL: OIL SOLAR SOLID
CONDLTIONINC pORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. / - C VENT
CHIMNEY: "A" "B" 70DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS Fvi s) SYSTEM BTU RATING ZI C
MISC. 94 , YO � / ROUGH IN FINAL `A 1J
EST. COST /40 PERMIT FEES y7c' DATE PD 07/9s'
REMARKS
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