HomeMy WebLinkAbout0021068-HVAC (furnace) CITY OF OSHKOSH N2 21068
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG n o ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 3 7 po ., ,e /''S PLAN NO.
OWNER U-c - (/ git) ft 101 j i/
DESIGNER
USE /NATURE OF WORK ?_,1 4 Q c._ 57.1. 6P6'-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /1) .e, ky , lJ
A/C Vent Fuel/System ste . 41 - `t T
Heat , �i0 O
'� ❑ ❑ y Heat Loss � p f / BTU'S �Y`'d
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 $ / te L ' Permit Fee e CI-CI ee Paid $ � Park Dedication $
ISSUED BY — Date ` "/ " ,- /QO Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE / / y / oe
AGENT /OWNER TE
ADDRESS
TELEPHONE #
APPL DATE / PERMIT NO. �! O (f
ADDRESS 7 lee? we
OWNER (�Q'�J1 �C � 4.Q 1/
NATURE OF WORK Y / / /JQCG
HEATING CO RACTOR �f e,. /A/
FUEL: 155' OIL ELEC. / SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" 'bIRECT VENT CON.BURNER
CALCULATED HEAT LOSS )c!`s -T- SYSTEM BTU RATING G a 7
MISC.
INSP. ROUGH IN FINAL /0/0 - ,/fip
EST. COST /$'G O-v PERMIT FEES ty..c.e. DATE PD /07,
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