HomeMy WebLinkAbout0003509-HVAC (furnace) CITY OF OSHKOSH N2 03509
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 71? / r17 /'O 'fi IV' PLAN NO.
OWNER a- 0P�y �O wa
DESIGNER /
USE /NATURE OF WORK %Ge: FU P77 &Q c ei 5—.1 "L° s
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 1/? 5 5 m v 5 5 e 47 179,
V Heat A/C ❑ Vent ❑ Fuel /System 4,1 Heat Loss A n 7 BTU'S Z /9 "e
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 $ /. P Permit Fee Paid 17 4,-/,' $ Park Dedication $
ISSUED BY //�� � (� Date g Final /O.P. 6 /// 4'7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU �A� �w , jr7
AGENT /OWNER DATE
ADDRESS '9/ S _ �f� t . __- 5.---. < '--. ‘ ..)
TELEPHONE #
■
PERMIT NO. r Q'j ; 9 APPL. DATE i ,z /g- 7
ADDRESS ?V9 / /Opl i ®e
OWNER ( 4 N y Nae.ua
NATURE OF WORK / 4 c e
HEATING CONTRACTOR Ci /Z1 v' SS e vi
FUEL: gfil OIL ELEC. SOLAR SOLID
CONDITIONING 'rORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL A/C VENT
CHIMNEY: "A" "B" ybIRECT VENT CON.BURNER
CALCULATED HEAT LOSS )c f 5 77` SYSTEM BTU RATING 7S/tee
MISC.
INSP. ROUGH IN FINAL 7 !/ (7
EST. COST / 7(y/J _ PERMIT FEES `d`� DATE PD �P- 97
REMARKS y�