HomeMy WebLinkAbout0028131-HVAC (furnace) CITY OF OSHKOSH N° 28131
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG r ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 9 3 5 � 7 / 4 �/ 5e `J PLAN NO.
/17
OWNER Da h v N d (/ / k.
DESIGNER U
USE /NATURE OF WORK _AO/at e 1l/ rii a C- i '9 7.
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
H EATING CONTRACTOR P5111(...0
fi 5 5 e4,4 ,5- / / IC.
y--
a. Heat r,IP NC ❑ Vent ❑ Fuel /System Heat Loss W T BTU'S 4
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 $ ,--! • C Permit Fee Paid $ 3 ye. Ci—elf Park Dedication $$
ISSUED BY Date 1 -04/4 Final /O.P. -1 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C'in�av t� //2 �-- yfr C��
I y �(l� AGENT /OWNER ��
ADDRESS t(A S 1 23 r- 6 5 9
l
TELEPHONE #
APPL DA G eg PERMIT NO. , yi 7
ADDRESS /93? S %l4,,,,0 S // O�i
OWNER )» _O U r / `-
NATURE OF WORK 1 /4 ce Fe, rl Q om' - e- // .
HEATING CONTRACTOR , /d'f h�l!/ �
5 5 m S ii-if SK lk.-
FUEL: 40 OIL ELEC. SOLAR SOLID
CONDITIONING `FORCED AIR H.W. ELEC. BASE. SEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" 'IRECT VENT CON.BU NER
CALCULATED HEAT LOSS 2 SYSTEM BTU RATING UY/`'O
MISC.
INSP. ROUGH IN FINAL u1ylifi
EST. COST A 4PG4P • cte PERMIT FEES ' -" DATE PD Ai/ /09Z-
REMARKS
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