HomeMy WebLinkAbout0027915-HVAC (furnace) CITY OF OSHKOSH N° 27915
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 9 //9v f .''e=7 /1 ( PLAN NO.
OWNER Ha rt- oo e iJ c h e r
DESIGNER / e,
USE /NATURE OF WORK L a C e �l/!''Na��/ /- rPs
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR rt°'C'Z!! " % ev-Prez fii-'
f _ ._ Heat 0 A/C V Vent ❑ Fuel /System /11_ Heat Loss "W01 i `f BTU'S '' C
94 pmt i s.7 /914—
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 $ VV 17. C-'49 Permit Fee Paid $ 3 t/ Park Dedication $
ISSUED BY Date g //� Final /O.P. 4 4 - 9 - 9 a
In the performanc- of t ' ork I agree to per . m . pursuant to rules governing the described construction.
/
SIGNATURE / / / / /9L
AGENT /OWNER DATE
ADDRESS 6- ff • 23c- 7o
(9 TELEPHONE #
, (,U 5 9
APPL DATE. y g � PERMIT NO. 2-7 5'!
ADDRESS 1 fie/ S /tn,5 /
OWNER floc k / /d e `tc%et'
NATURE OF WORK e ? " r Q C !° l �C� t ° 1"/WW�'
HEATING CONTRACTOR 1 e G --,
FUEL: ® OIL SOLAR SOLID
CONDLTIONING YORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. f-K[C VENT
CHIMNEY: "A" "B" `FJIRECT VENT CON. BURNER
CALCULATED HEAT LOSS f v(5 % SYSTEM BTU RATING a
MISC. 7 AL. /G
INSP. ROUGH IN FINAL Sfh/fZ,
EST. COST Vee c1/42 PERMIT FEES DATE PDg1/4f9-•
REMARKS