HomeMy WebLinkAbout0044162-HVAC (furnace) CITY OF OSHKOSH
N2 44162
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7, y /Y7 ii /4 0 -e 'j /` PLAN NO.
OWNER ch rt /S ' / Gh fr2
DESIGNER
USE/NATURE OF WORK 4 /Q - c f'az~h €c - e--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
Ao HEATING CONTRACTOR £ ' 5 l29e,,, ITL
Heat p A/C ❑ Vent ❑ Fuel /System / lam` Heat Loss 4- 1 4 1 �V BTU'S a' )
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 ✓� `' - 0-e7 Permit Fee Paid $ � �` t / Park Dedication $
ISSUED BY Date /i/ 9i _' Final /O.P. 5 r 9 69
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
1
SIGNATURE Xv/93
AGENT /OWNER
ADDRESS 3051e
TELEPHONE 0
A
APP DATE 3/V '5 - PERMIT NO.q i G" / / /
ADDRESS P H) 4/ a, /t
OWNER f b 140'5- Wa /Cluj rr,c, h
NATURE OF WORK Adac e fr/NyQ CS
HEATING CONTRACTOR Cc" T 721 /ij /
FUEL: ggP OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" CARECT VENT CON. BURNER
CALCULATED HEAT LOSS C ` SYSTEM BTU RATING id2 LiY/°-0,
MLSC.
INSP. ROUGH IN FINAL <X0/ 0
EST. COST p 00 D . 0 PERMIT FEES '8. c-'d DATE PDVt //96
REMARKS
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