HomeMy WebLinkAbout0027013-HVAC (furnace) CITY OF OSHKOSH N° 27013
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [y, ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 % !e // V 147 e 1 ' PLAN NO.
OWNER R 44:1 k I eo r `J
DESIGNER
USE /NATURE OF WORK LI �,/ 34c e, 4Kfrta c e..__ . : •
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR v! 3 /- Cc'ea/' 5 )
r_ Heat rp A/C ❑ Vent ❑ Fuel /System - 6 Heat Loss 3 BTU'S 77 C
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 $ - CPC"
�,D Permit Fee Paid $ /9c Park Dedication $
ISSUED BY r> °z� Date f/Q % , "' Final /O.P. 3 ` 3) 9 r
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE . J ' J..(i1.� �t., jaL 0 y/ 9 �
AGENT /OWNER DATE
ADDRESS ) P A 1 _ , 71 S- ?S(2
TELEPHONE #
PERMIT
ADDRESS
OWNER 0
NATURE OF WORK / 4 ei
HEATING CON _
''CTOR
FUEL: do OIL � ! 5 ea,�5'�
ELEC SOLAR SOLID
CONDITIONING 1/)a)ORCED AIR H.W.
ELEC. BASE STEAM
SYSTEM GRAVITY
SUPPLEMENTARY AIR COND.
CHIMNEY: '� "B"
CALCULATED HEAT LOSS DIRECT VENT CON. BURNER
MISC.
INSP . ` � s SYSTEM BTU RATING 7.}
� -----
ROUGH IN FINAL
EST. COST eq_ PERMIT FEES�c
REMARKS DATE PD `3i.���