HomeMy WebLinkAbout0002355-HVAC (furnace) CITY OF OSHKOSH N o 02355
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 9 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 4j [ a Ali / i . y' 5a Va PLAN NO.
OWNER KK '/I 0 4 I Z t✓a C/eN
— DESIGNER
USE /NATURE OF WORK it _ �✓ / 41 d' -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /`72i y' J/ eeL , h C�
Heat [ A/C 111 Vent 111 Fuel / ( . / Heat Loss rje6 h3 BTU'S P0
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 $ / 7 PV • C Permit Fee Paid $ / 7 t/ Park Dedication $
Z� %��
ISSUED BY " v Date /� /ii/�(o Final /O.P. /'0'6 17
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 64.4..,e `o74,i1
AGENT/ WNER /1
A / DA ��
ADDRESS
TELEPHONE #
PERMIT NO. U 2 3 ,'7 APPL. DATE
ADDRESS ) 9 3 / - i 1 , , 7° SO)
OWNER Y.-0 f C-Cy lG /t bat, r r
NATURE OF WORK ' % c e , 'r n a c
HEATING CONTRACTOR A-10 r .
FUEL: OIL ELEC SOLAR SOLID
CONDITIONING CCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY:
e "8" DIRECT VENT CON. BURNER
CALCULATED HE LOSS 4y SYSTEM BTU RATING //5 e'
MISC. /
INSP. ROUGH IN FINAL / /10/fj'2
C'- I?ERMIT FEES /7 OD ATE PD f if //
EST . COSP7C
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