HomeMy WebLinkAbout0041146-HVAC (furnace) 6 0D
4. --) CITY OF OSHKOSH N° 41146
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 417 / 1- 9 ' P8!4 Ale" PLAN NO.
OWNER (re V 1t C/ �LC z°
/4- �fPZ J;y er'
DESIGNER /
USE /NATURE OF WORK_ 91 /- c�/'Kt
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR f i l.f./ f eyI I S AM? 9" h/ c---
t Heat A/C ❑ Vent ❑ Fuel /System N.L<o Heat Loss i / ` � t BTU'S 6°
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 – "`® d ''.44) $ Permit Fee Paid $ �� Park Dedication $
` , /
ISSUED BY "� Date rz/ Final /O.P. d 'f 9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE \ 0'43_, ...ilk v���.,-Q-„ ei7/91.
i AGENT /OWNER DATE
ADDRESS `� \ �- 5 cbC\
TELEPHONE #
APPL DATE, V/7/17-54 PERMIT NO. ' / ! 1
ADDRESS / d ,-eI ,
OWNER trer/` l% U7'�°f'L.S�! L°`''
NATURE OF WORK L,/ ace y r , : a c -
HEATING CONTRACTOR _R4'51211/ 5 5.0 GI ' S 4 (L.
FUEL: OIL SOLAR SOLID
CONDITIONINGORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. AFC VENT
CHIMNEY: "A" "B" - VENT CON.BURNER
CALCULATED HEAT LOSS , SYSTEM BTU RATING 40~
MISC.
INSP. ROUGH IN FINAL TA /57g
EST. COST. . c, PERMIT FEES 0-4, DATE PD '7/ 7
REMARKS
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