HomeMy WebLinkAbout0005242-HVAC (furnace) CITY OF OSHKOSH N°_ 05242
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS '8', 7 5 Pe c e r1 PLAN NO.
OWNER v OCk1 /I C 61, '171715
DESIGNER
USE /NATURE OF WORK /�%,7 U .r .—.F
/"
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
' Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C ❑ Vent ❑ Fuel /System /1 U`"- Heat Loss 4 /%S T BTU'S 7 c6",
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 $ 9,009" /' • Ct Permit Fee Paid $ • 049 Park Dedication $
ISSUED BY .1-P - Date 8/ 9/ r, F /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
4111, liP
SIGNATURE .W4 04 _,_. iv /, / /c7
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
PERMIT NO . t64 �,�� 4 -1"2.- AP P L . DAIL /7 V /if
ADDRESS tO GI/ et' ,)Y
OWNER "
NATURE OF WORK ' / 1laCe
HEATING CONTRACTOR P�/°-//i —Zet7l _,V e.r
FUEL: dp OIL ELEC SOLAR SOLID
CONDITIONING ", RCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: 'A' "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS /`5 ,?` SYSTEM BTU RATING '75
MISC.
INSP. ROUGH IN FINAL /fAVir7'
EST. COST ERMIT FEES , G�`QIjATE PD
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