HomeMy WebLinkAbout0022573-HVAC (furnace) CITY OF OSHKOSH N° 22573
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG CA ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ?61' 5 17hYe l'. PLAN NO.
OWNER /l er i-c t R as 4
DESIGNER /�
USE /NATURE OF WORK 1 ' / 0 L �' d i ■ c - /
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
Z HEATING CONTRACTOR t c l) ?Lim b 7 7
Heat [r A/C ❑ Vent ❑ Fuel /System Al -6 Heat Loss 4 i ! BTU'S `
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 $_ 8'C1-41-- v Permit Fee Paid $ 1 ' Park Dedication .$ J
ISSUED BY Date V4 / 9/ Final/O.P. ✓ /Z/ q 7I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE jaz-lt_._ 6-
V AGENT /OW
ADDRESS S a 0 -.0 /7-3., a,-<_ _
TELEPHONE #
APPL. DATE '3//1 /fl PERMIT NO.
ADDRESS ?al ,5 1 G(JL S
OWNER ge Vd er r Rzza h
NATURE OF WORK dada c e rAl ac-t—
HEATING CONTRACTOR ir7`19-2a`9 /7
FUEL: ® OIL ELEC. SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS C jS J SYSTEM BTU RATING le?"e; ey/`e
MISC.
INSP. ROUGH IN FINAL cb/9/
EST. COST y 0-0 PERMIT FEES ,9< 0 DATE PDV' //9,/
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