HomeMy WebLinkAbout0005266-HVAC (furnace) 46) CITY OF OSHKOSH N2 05266
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTGX ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ' Ne71 /1G'fi° PLAN NO.
OWNER k 1 .
DESIGNER �/
USE /NATURE OF WORK L � "0 a - v .•• _ �E,J
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR The /mil - 77i Th e/-
Heat yz A/C ❑ Vent ❑ Fuel /System /_/r Heat Loss Eii S7 BTU'S 742 d
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT _ WH Disp WSoft
CBasin
t.
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS
Water
Other
FEES: Valuation $ / 1. 'i`LV Permit Fee Paid $ .14 e eat, Park Dedication $
ISSUED BY Zf - E--- Date Final/0.P. O -' - S'
/ � � 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4I -.A / � y
AGENT /OWNER 1 } / 7
ADDRESS
TELEPHONE #
PERMIT NO. 00:e APYL . DAIL F /77
ADDRESS . .i/4 „
OWNER Airs /,-y/
NATURE OF WORK d C /QCee:', 73,7 a G
HEATING CONTRACTOR 7 /C! - e.Li7h
FUEL: OIL ELEC SOLAR SOLID
CONDITIONING AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: 46 "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS F4157
x/ -7 SYSTEM BTU RATING
MISC
INSP . ROUGH IN FINAL / , e- (7
EST. COST /5 c 7PERMIT FEES / DATE PD 01/
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