HomeMy WebLinkAbout0017159-HVAC (furnace) CITY OF OSHKOSH N2 17159
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG yl ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,/ ,� / 4 d,/ /lO & PLAN NO.
OWNER Q4/ /I Cly j)a
DESIGNER f
USE /NATURE OF WORK i /�'' �. /7? G e - / - Xe,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /Oa 3/ex
Heat y A/C ❑ Vent ❑ Fuel /System Heat Loss A l S 7 BTU'S /l j arl`cf,
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 $ �' v - C-4° Permit Fee Paid $ O 5 ' e� Park Dedication $
ISSUED BY .'/ i Date p"/h/< /2 Final /O.P. ‘1.-- 0 - a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ „7,6-27 /i� j . 1
AGENT WNER O L
DATE
ADDRESS
TELEPHONE #
APPL DATE /, /p',pO PERMIT NO. / 7/ ✓ 1
ADDRESS 2 . r "'kW re
OWNER Pa I/ Gi Ski i' s !!
NATURE OF WORK gr`l!r"f% f /"�/� na ( -
HEATING CONTRACTOR a/, S ! A
,
FUEL: 40 OIL ELEC. SOLAR SOLID
CONDITIONING 41PORCED AIR H.W. ELEC. BASE. VENT STEAM
SYSTEM RADIANT SUPPL. A/C
CHIMNEY: "A" "B" DIRECT VENT CON .BURNER
CALCULATED HEAT LOSS jp js T SYSTEM BTU RATING bO /,ham
MISC.
INSP . ROUGH IN FINAL l{ �' Q
EST. COST20.0 -d , fJ� PERMIT FEES e/V DATE PD /G/ 90
REMARKS
s