HomeMy WebLinkAbout0016705-HVAC (space heater) CITY OF OSHKOSH N° 16705
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 2 6 J'/ i/ jDf1 PLAN NO.
OWNER 5 ii e A U 5!' / r/ e
DESIGNER yc�,
USE /NATURE OF WORK / !0 -- �' /CAL r 1 / -, - I
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
/` HE CONTRACTOR (9 (. 117 1"
f Heat A/C ❑ Vent ❑ Fuel /System AL 6 Heat Loss F } T BTU'S 9
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /!° l' Permit Fee Paid $ 0 /' • 4/`e Park Dedication $
ISSUED BY e e-tii Date _ /, / / //g Final /O.P. 4-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _A--b-- " / ‘ /,/ r9
AGENT /OWNER / E /
ADDRESS
TELEPHONE #
APPL. DATE 1,% PERMIT NO. / 5i
A RES3 . i
OWNER
NATURE OF WORK U 4 5 z°_ /1-,T1".
HEATING CONTRACTOR ap ,,
FUEL: 400 OIL ELEC. SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" RECT VENT CON.BURNER
CILCULATED HEAT LOSS �G`3 SYSTEM BTU RATING yc
INSP. ROUGH IN FINAL /- 3/,!ip
. EST. COST ! 7l 2 £''PERMIT FEES / 1,, 1.1r, DATE PD
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