HomeMy WebLinkAbout0011305-HVAC (furnace) CITY OF OSHKOSH No 11
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG y7.l ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9(g.- 6 " HG1I re -71 PLAN NO.
OWNER tOia l te N d` e5'G /°c
DESIGNER /
USE /NATURE OF WORK L 1 ea Gs , rC r'f1LZf` e _ 1' Res
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ' Occupancy Permit
HEATING CONTRACTOR F %1.7/ / t ,/
ti ,,.._ Heat A/ C ❑ Vent ❑ Fuel /System /(/--- v` / Heat Loss J Wj 7 BTU'S —2 52 trefrr
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
,-A,.#2 /
FEES: Valuation $ / a �� Permit Fee Paid $7
Park Dedication $
ISSUED BY _ . — Date // /i 7/5 Final /O.P. v; n /4r"
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
C ry ,
SIGNATURE W re-- '� Z Z // / 7/1,
/OWNER / DAT
l i (
ADDRESS ` 6 d i , 0 25 5 -01/(69
a lC / d p
TELEPHONE #
PERMIT N0. 'J APPL. DATE
7
ADDRESS i 0 r
OWNER
NATURE OF WORK •�/ 1
HEATING CONTRACTOR II
SOLID
F UEL:
OIL ELEC SOLAR
H.W. ELEC. BASE STEAM
CONDITIONINGRCED AIR
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY:
"lip 01 "B" DIRECT VENT CON. BURNER 1"'
r -
CALCULATED HE. LOSS ',.}GI � - SYSTEM BTU RATING-„ �►�
MISC. FINAL ® /.�
EST. ROUGH IN PERMIT FEES BATE PD .
EST. COSTg�
REMARKS