HomeMy WebLinkAbout0018513-HVAC (chimney liner) CITY OF OSHKOSH N9 18513
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG N ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / P- �. Ho h eta e-- I PLAN NO.
OWNER TO 1'11 e, Da v<`s
DESIGNER
USE /NATURE OF WORK Re 102 h t f1 Lr 1 ,' �to�'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR i /, -. ■ iii i -G 'Q /`S
Heat 7) NC ❑ Vent [1] /A Fuel /System AL v Heat Loss BTU'S
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 $ //,0- • d 11°# Permit Fee Paid $ /7° x 4-19 r Park Dedication $
ISSUED BY Date l° a ' o
9� Final /O.P. q -
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE //
■
AGENT /OWNER D AT
ADDRESS ms`s 9 a N'_ O'/a 4, w 9 or rn /9 f/ !f 23/ - y d_3 9'
TELEPHONE #
APPL . _DATE / / /lO /9 PERMIT NO. l Z57 `3
ADORESS„,/i4 A717/10e
OWNER �� /' �J t °S 2» J/ ,S
NATURE OF WORK New h , , h ,� y
HEATING CONTRACTOR � �
FUEL: OIL ELEC. SOLAR / SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" L DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING
MISC.
INSP. ROUGH IN FINAL ?,,,1-24';e7
EST. COST 1/5V. U-p PERMIT FEES DATE PD 5A /Qf
REMARKS