HomeMy WebLinkAbout0017587-HVAC (furnace) CITY OF OSHKOSH N° 17587
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 17 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / / Via o .ow I ' �- PLAN NO.
OWNER Pet 0 / Why y f &
DESIGNER
USE /NATURE OF WORK / &CP r///"l2Bt' e-- p,JZ-5
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR M e--14 — 7• "
Heat W A/C ❑ V ent ❑ Fue /System /It i h
Heat Loss �� BTU'S�4 e9 /
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ / ,✓ r �� e '� Permit Fee Paid $ ?j 67,- el—e9 67,- Dedication $
ISSUED BY %�y .7° Date P /9 Final /O.P. 5 - l(J
In the performance of this work I agree to perfor 1 _ '. pursuan • ules governing the described construction.
SIGNATU - - 3/
AGENT /OWNER / DATE
ADDRESS
TELEPHONE #
APPL DATE J -7/9O PERMIT NO. / 7 6
D 7
ADDRESS /' / 7 / Gva c.-7a (/
At
OWNER U' Gf
NATURE OF WORK 42/Ce
HEATING CONTRACTOR
FUEL: r OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. Aj0 VENT
CHIMNEY: '9 "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS /5 -`'' r SYSTEM BTU RATING J C) 7 z C7
MISC.
INSP. ROUGH IN FINAL ��`Q,Q
EST. COST R J� . cJY0 PERMIT FEES 7 j!' DATE PD V,s 7�l/D
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