HomeMy WebLinkAbout0041734-HVAC (furnace) ,I
CITY OF OSHKOSH
N
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG tia ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS hi 7 Pow G r S S` PLAN NO.
OWNER / - e ' /0' 4R r
DESIGNER
USE /NATURE OF WORK 12-ipke-e �`c/ I''vr.lt c -2
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (1-- 5.
Heat A/C ❑ Vent ❑ Fuel /System A.4"_ Heat Loss r e` ;it BTU'S ‘
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 $ //la. Permit Fee Paid $ / �� Dedication
9 - Park $
ISSUED BY______...,— Date 7,d g9y Final/O.P. 7 • a • 1'V
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . itt„...1- V a 5 A AGENT /OWNER p
ADDRESS do?? (e' d/ `/G Pe 5 r D/', ptr) 'n v, `le l��_ ✓�'Y9r5
TELEPHONE #
APPL DATE
9 PERMIT 110. y` 7
ADDRESS i - 1 d -
OWNER 'r C Gl - " /`f
NATURE OF WORK _..1 de - 4
HEATING CONTRACTOR - ' .5. ..''
"'IA' Z
FUEL
OIL ELEC. SOLAR SOLID
CONDITIONING ORCED AIR H.W.
ELEC. BASE. STEAM
SYSTEM
RADIANT SUPPL.
CHIMNEY: "A" "B" . ""DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS EkaT SYSTEM BTU RATING C`�`2
MISC. FINAL i �il
INSP. ROUGH IN
EST. COST 2 32
fff PERMIT FEES ±9e f'1 DATE PD ;9 477,1,
REMARKS
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