HomeMy WebLinkAbout0048111-HVAC (furnace & a/c) CITY OF OSHKOSH N2-48111
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 6iP ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9,5 /Vo'/'e4 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK Re/ace ) ��-- 'P r 2c,e �C—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR C(/ /el
Heat Ei2 A/C VP Vent ❑ Fuel /System N-'G Heat Losst k BTU'S "Li9
/ 4 ) 7 , 1 L
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
FDr - SP Ur _ Storm Sewer
Sink _ LTub Eject _ SS _ Water
Other
FEES: Valuation $ a te° L ' A 'e 9 Permit .. e )-0 J
°_— ermit Fee Paid $ �� Park Dedication $
ISSUED BY Date /` / /1`/.- Final /O.P. " lO - 9t0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � , %4 D / / �' �-
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
(O 7 r PERMIT NO . `L (� `j / —
APP7, DATE QQ
ADDRESS !, / ela 12 e /
OWNER el-lie ! / !"z eFig
NATURE OF WORK r/1 /Q.er'e - i"!i! e--d9
HEATING CONTRACTOR
FUEL: OIL 411110 SOLAR SOLID
CONDLTIONING 4 ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. 4t
CHIMNEY: "A" "B" IRECT VENT CON. BURNER
CALCULATED HEAT LOSS
if
CALCULATED BTU RA ING
MLSC. W /��.]« 0 -G
INSP. ROUGH IN FINAL iliO/QG
EST. COST 1 (- 14zJ • c9e) PERMIT FEES 7. UO DATE PO eir
REMARKS
r
s