HomeMy WebLinkAbout0009175-HVAC (furnace) CITY OF OSHKOSH No 09175
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG !; ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 ? / Pc co ge5- PLAN NO.
OWNER 0/ r/i ffe 1.0 /O 1z �P fl 7 -, 9 e 7'
DESIGNER
USE /NATURE OF WORK 1Q Lam Et/ rn �! z° ,` 62,..,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Lcie //9 e ay ''' r Heat y A/C ❑ Vent ❑ Fuel/System 4/.--• / Heat Loss / 'C i r f / BTU'S /J L/'
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 $
e' � �� f)-149 Permit Fee Paid $ f)-149 Park Dedication $
ISSUED BY 7, - Date 7 / / / /rf Final /O.P. S -- z2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE " _ -.4 / //f
AGENT /OWNER ATE
ADDRESS
TELEPHONE #
PERMIT NO. `
IAPPL. DATE r
-
ADDRESS / /d c.1„. -
OWNER / 1 / , y-
NATURE OF WORK 1
HEATING CONTRACTOR L(/ e5-
FUEL: aP OIL ELEC SOLAR
SOLID
CONDITIONING 1 'RCED AIR H.W. ELEC. BASE STEM
SYSTEM GRAVITY SUPPLEMENTARY
AIR COND.
tiIMNEYr 11 DIRECT VE NT CON. BURNER
CALCULATED HEAT LOSS44,Lii SYSTEM BTU RATIN
MISC.
INSP'. ROUGH IN FINAL AMU
REMARKS OS PERMIT FEE SDATE PD Mgr
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