HomeMy WebLinkAbout0006058-HVAC (wood stove) CITY OF OSHKOSH N° 06058
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG c6p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (� �/ 7/' Ile J7 /' eO PLAN NO.
OWNER L , n d0 Pe7' -r ►
DESIGNER / ,
USE/NATURE OF WORK 41451-7 L,�(fder / ICJ ve- 5.. E i s ,.
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR eC.0 Y) e `^
Heat Vi A/C ❑ V ❑ Fu /System 5 0 / (67 / 11 Heat Loss sei ` 5 T/ n BTU'S t /1 ab /�
(.", /
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft
CBasin
Lay — Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 3 5' ' ‘fre Permit Fee Paid $ l0- at.4/2 Park Dedication $
ISSUED BY C.0 ,- Date /0 Final /O. P. 5 - e -- ,8 g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR �. . e //L %�� �.v �y
AGENT/OWNER ` �` TE
D ATE/
ADDRESS ( 00 M O VA ✓'Oe
231 -6
TELEPHONE #
PERMIT NO. 0 7221 t APPL. DATE /0-3
ADDRESS X40 / Leil ./447 -
OWNER j - c t`�f '
NATURE OF WORK 194 Gvogd Skit, Z°---
HEATING CONTRACTOR D /_t
FUEL: GAS OIL ELEC SOLAR SO.
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY 4UPPLEMENTARY AIR COND.
C HIVY: "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 3a ' 7 SYSTEM BTU RATINGVarria e
MISC. ��
INSP. ROUGH IN FINAL 4 /rr46'
EST. COST G` U�PERMIT FEES /0. ATE PD "Q/�� /f 7
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