HomeMy WebLinkAbout 0027063-HVAC (wood stove) CITY OF OSHKOSH N°_ 27063
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG IA ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 tcr 11 e 50 PLAN NO.
OWNER if 1 il, ✓ z el'
DESIGNER
USE /NATURE OF WORK l ./ 01 t`$ 4 V - „ h�j / / w (Pad
1 DeV L°— cT
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Zf fie fQS J /
Heat's A/C ❑ Vent ❑ Fuel/System 544" Heat Loss )':>/( 1 BTU'S I/ 4 rea 4 t
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
/ � S v
FEES: Valuation $ / Permit Fee Paid $ S' Park Dedication $
ISSUED BY `Z�""(..-- Date //, 7 /S Final /O.P. y'/ - a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 / 2 7 /p
AGENT /OWNER /DATE
ADDRESS
TELEPHONE #
PERMIT NO. 'Po ,33 APPL. DATE //� 7/ 7
ADDRESS , / is f en') e5e 4
OWNER g,,y Pv1-7.
NATURE OF WORK Fyri7/5 ; ) j iv,oPcY" 5)1./
HEATING CONTRACTOR ,Z /� Qf
FUEL: GAS OIL ELE6 SOLAR CO
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY ygUPPLEMENTARY AIR COND.
CHIMNEY: "B" DIRECT VENT CON. BURNER /
CALCULATED HEAT LOSS p'jp1�c 7 SYSTEM BTU RATING V rfaJ/e;
MISC. ,
IN SP . RO GH IN FINAL 1 ////y ) -
EST. COS119','_ c, PERMIT FEES p-.6` AV DATE PD) f /) f
REMARKS
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