HomeMy WebLinkAbout0021743-HVAC (furnace) CITY OF OSHKOSH N2 21743
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /270 / L el'i lam! Al PLAN NO.
OWNER /)d'J L° `/
DESIGNER
USE /NATURE OF WORK 7/¢ c e 01ec r f II rG 7 w/ )l Fe-1-1 c 7 c^
�i f
� c
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /p .1/dOr7 Pa )4A. / Co ill c, 2 'h c-.
Heat 7 A/C ❑ Vent ❑ Fuel /System /ti- Heat Loss ?`, `ST BTU'S 9 ' P )
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 $ " /h7J. OZ9 Permit Fee Paid $ 2 7,1'1' Park Dedication $
ISSUED BY Date / � / / /QD Final /O.P. 3-g-91
1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE N� ` A/V QO
AGENT /OWNER SATE
ADDRESS
TELEPHONE #
APPL. DATE /0 PERMIT NO. / 'q 3
OWNER Do h ,9 1/
NATURE OF WORK / �% � G�- #cq t cf."
HEATING CONTRACTOR 6p /ic46 re / Ofrs--) J r 1Y
FUEL:
OIL ELEC. SOLAR SOLID
CONDITIONING t AIR H.W. ELEC. BASE.
S STEAM
SYSTEM
RADIANT SUPPL. A/C VENT
CHIMNEY: "A" IRECT VENT
CALCULATED HEAT LOSS c CON.BURNER
sci S T SYSTEM BTU RATING 4
MISC.
INSP. ROUGH IN FINAL 9/9/
EST C OST - /o, c� PERMIT FEES 7; DATE PD/A-/4/90