HomeMy WebLinkAbout0016040-HVAC (furnace) CITY OF OSHKOSH N° 16040
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG r ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /// 5 / w z° l S PLAN NO.
OWNER a 7 --- � Ls - 1- r
DESIGNER
USE /NATURE OF WORK ir / .a t — "
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR W L SL
e Heat V A/C ❑ Vent ❑ Fuel /System / L Heat Loss L''''Y 6r.5 BTU'S LSO /'t'
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 $ / ,r Permit Fee Paid $ / 7` ( Park Dedication $
ISSUED BY Date l e/ * ey Final /O.P. 4 '' /"' 90
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
. / SIGNATURE e � 6O4 O O
AGENT /OWNER ` D
D
ADDRESS
TELEPHONE #
APPL . DATE 7//c ' PERMIT NO .
Appx s___.. /11C Po we rs
OWNER J c C! c > TGr dT 47,
NATURE OF WORK y i /a e e_ F4.119.1-ta c .
HEATING CON RACTOR ( c /ey f.
FUEL: dr OIL ELEC. SOLAR SOLID
CONDITIONING N `ifORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT. SUPPL. A/C VENT
CHIMNEY: "A" "B" �IRECT VENT CON. BURNER
CALCULATED HEAT LOSS J jc!^s- f SYSTEM BTU RATING Ze,.
MISC.
INSP. ROUGH IN FINAL . i/9C2
EST. COST 1 , _ ,cy0 PERMIT FEES / 7, DATE PD /0O�fjj
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