HomeMy WebLinkAbout0041294-HVAC (furnace) N2 b
CITY OF OSHKOSH N " 41294
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG A ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 JTY /Yon ree. PLAN NO.
OWNER pew (Ad AI-else h
DESIGNER
USE /NATURE OF WORK A G e Fe/ r K. a c –a--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ✓ /"o �! Caw n ,e f^)
❑ ❑ y / +� b t /`S V BTU'S 4' UD'
Heat A/C Vent Fuel/System stem � Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp p 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 $ tro, - Permit Fee Paid $ 2 y ` 0-el Park Dedication
ISSUED BY Date �� "O'Y Final /O.P.
In the performan this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - 4 Y/ VI?
AGENT /OWNER D
ADDRESS
TELEPHONE #
APPL DA 4 PERMIT NO. 'W) 7
ADDRESS 7r? / `eil/tp
OWNER 404L/ /V d<0 .
NATURE OF WORK / - -
HEATING CONTRACTOR 5 rrous a PSC- '?
FUEL: Jr OIL ELEC. SOLAR SOLID
CONDITIONING CeFORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. ATC VENT
CHIMNEY: "A" "B" NVIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 4 SYSTEM BTU RATING liC
MISC.
INSP. ROUGH IN FINAL /0/Ad ff
EST. COST /3"4 PERMIT FEES 4-D" ' DATE PD r /zrJ
REMARKS