HomeMy WebLinkAbout0026155-HVAC (furnace) CITY OF OSHKOSH N° 26155
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 / 01, t/40/4 )4'J4
,`/� PLAN NO.
OWNER CMG s hal Ai`rt e xi./h9 5er v /ce
DESIGNER
USE /NATURE OF WORK W/ % - A 6 ... v
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR 7 Pi !// . 57 )'LG`' /,
Heat V A/C ❑ Vent lip Fuel/System ALA Heat Loss /5 ,te BTU'S !e' /,' Aft
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 $ yle�`TJ "4D Permit Fee Paid $ y9. ell9 Park Dedication $
ISSUED BY Date i:///,` Final /O.P. i s 3 — `'r )
In the performance of th's work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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�i'1��°� 2 c��' -6 /� /�/ /�
AGENT /OWN DAT
ADDRESS,
TELEPHONE #
APPL. DATE / /6 /99/ PERMIT NO . G/
A RESs
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OWNER J 6C L S fi kG ijl » 12-(j /?9 SL°f of'
NATURE OF WORK IQC h rl LAG es
HEATING CONTRACTOR ; -j 57.. 57az 17 OI
FUEL: OIL ELEC. SOLAR SOLID ( gip
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM_
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" \(DIRECT VENT CON.BURNER
CA .CULATED HEAT LOSS DIr SYSTEM BTU RATING /G /.,f /1
MISC. l '75'7/ t7
INSP. ROUGH IN FINAL Yf/fIAY
EST. COST/NNOW, or PERMIT FEES 6/9 DATE PD / / /GAF/
REMARKS
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