HomeMy WebLinkAbout0042696-HVAC (fireplace) CITY OF OSHKOSH
N 42696
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG Eig ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 15—O r .3 t - P P t e4 s2 S Y - PLAN NO.
OWNER peezt4 C/a /2, e
DESIGNER
1 `
USE /NATURE OF WORK I f r - vi. S / G/ Lv evo ce OP"' / %_ y
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR ® GC/ /? e-K
Heat r A/C ❑ Vent ❑ Fuel /System 5.41, ai Heat Loss ECOri BTU'S v a ,V a-h to
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 $ /v er alf Permit Fee Paid $ 15 el Park Dedication $
ISSUED BY Date /I/ 7/?7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
0144. fat // /J 719Y
AGENT /OWNER OA
ADDRESS
TELEPHONE #
` 7/991 7/991 4` PERMIT I10 . / ` ` 6
APPI, DA L
TE /j /1
ADDRESS. _ ✓ 6 5 �L°N/ 1 ,
OWNER Deg h C ay, S
NATURE OF WORK Fy n 1/5 / _7h 5 `` F if reibJi a C e
HEATING CONTRACTOR OGeJ s
FUEL: GAS OIL ELEC. SOLAR ,SOLI
CONDITIONING FORCED AIR H.W. ELEC. BASE. N STEAM
SYSTEM RADIANT ! _ PL. A/c
CHIMNEY: �B" DIRECT SYSTEM BTU CON.BURNER
CALCULATED HEAT LOSS L 41 r
MISC.
INSP. ROUGH IN FINAL /Jh/
EST. COST air/-sr. PJC' PERMIT FEES /5.c DATE PD 4'//`)JQY
REMARKS