HomeMy WebLinkAbout0025421-HVAC (furnace) CITY OF OSHKOSH N9 25421
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS < 9 ' 5 /i 1 /7/7 . 50 J( PLAN NO.
OWNER h'! ma Jl! 7h/ a5
DESIGNER
USE /NATURE OF WORK______ /i Ft,rn a Ce_ ,,F d Z 5
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR L v'y `e ii-f7 -f7 l._ Heat tr A/C El Vent Fuel/System AL- 6 - Heat Loss . ( 57 - BTU'S ! U
PelV
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 $ 1 • ClU Permit Fee Paid $ '5 t Park Dedication $
ISSUED BY v Date 7, Final /O.P. fD ` "{ '11
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ` C dvi -.e q /4/
NT /OWNER DATE
ADDRESS
TELEPHONE #
AP PL . DATE g/ " ,-/W PERMIT NO . / /
ADDRESS / f2 YSU 4
OWNER F 1 44 q / a _hi ra
NATURE OF WORK 0.11110c4 � rU r,i a a e
HEATING CONTRACTOR (21 s
FUEL: 69 OIL ELEC. / SOLAR SOLID
CONDITIONING CORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT
SUPPL. A/C VENT
CHIMNEY: "A" "B" IRECT VENT CON. BURNER
CALCULATED HEAT LOSS �Ys `S SYSTEM BTU RATING gam, 00
MIS C.
INSP. ROUGH IN FINAL /O /yf
EST. COST U'C1__PERMIT FEES a✓ce GY) DATE PD
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