HomeMy WebLinkAbout0003969-HVAC (furnace & a/c) CITY OF OSHKOSH No 03969
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG - X ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ?/ 1 // , `j , j i1 PLAN NO.
OWNER 0 Po e c /ei
DESIGNER
USE /NATURE OF WORK If L' - - - . -_, / w __f
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
Q HEATING CONTRACTOR — / e `I i L° -
r ' Heat A/C IGb Vent ❑ Fuel /System At 6 Heat Loss yis'n'i, BTU'S y-
V T
z-7 /
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 $ 2 4 / 0 "1: Cep Permit Fee Paid $ /• 0 i Park Dedication
ISSUED BY �� t Date b /2 /t7 Final /O.P. Q .4 ~Y7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE c----i-...,1-r-ce.,*--J2_,. (7,-/p
AGENT /OWNER DACE
ADDRESS
TELEPHONE #
PERMIT N0. Q ? fo / APPL. DATE 4 7 7
ADDRESS / Q/ r ' ",,,
OWNER 1) rt /KO r°de
NATURE OF WORK p/� / e , �azok
HEATING CONTRACTOR
FUEL: ® OIL SOLAR SOLID
CONDITIONING'ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM L GRAVITY SUPPLEMENTARY COND.
CHIMNEY: "B" DIRECT VENT CON. BURNER
CALCULATED H LOSS 5 05- h ., SYSTEM BTU RATING
MISC. 9 Q¢��
INSP. ROUGH IN FINAL 0/87
EST. COST 17 ,f6V- c'',PERMIT FEES _.y, eDATE PD
REMARKS
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