HomeMy WebLinkAbout0018595-HVAC (2 furnaces) CITY OF OSHKOSH N9 18595
L' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1/ U./Q Of 0. 2 11U PLAN NO.
OWNER // erh Re l f N
DESIGNER �j ('-e2 l
USE /NATURE OF WORK /Q C e f _F L/ �H.. c es �, /
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR as i"7/'n 4 !/ hi-, %
I . Heat p A/C ❑ Vent ❑ Fuel /System 1 �' v`... Heat Loss 15 An, BTU'S / L°/ 9 per,
9 /, ev Y '
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 $ 5 O IDermit Fee Paid $ 5-7, a / Park Dedication $ q
ISSUED BY Date ,V. Final/O.P. 1. -. Y0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ti CIA— `` ,J >` , /!�i,
AGENT /0 DAT
ADDRESS
TELEPHONE #
APPL . DATE 677 7/9a PERMIT NO. /F57
AURESS=' i ///�/
OWNER e r ,i P yo` 'i'"
NATURE OF WORK 6p! ac- e # Pc PH Q C e �'
HEATING CONTRACTOR 62-gr")`/77 /117
FUEL: GAS OIL ELEC. SOLA R SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS 4,- /2 SYSTEM BTU RATING /1j0 c'' 0
MISC.
INSP. ROUGH IN FINAL I ���
EST. COST 5 Z pD ctz9 PERMIT FEES ,/ e DATE PD
REMARKS ��� �Q0