HomeMy WebLinkAbout0006378-HVAC (furnace) 4) CITY OF OSHKOSH No 06378
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG T ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 1 ,9 %_. f l2Q cl oo 5 ' PLAN NO.
P O/ 1 OWNER e el UJa iv de S
DESIGNER
USE /NATURE OF WORK R12 /4' c 'e' F f / y' ilex c--e- '- E OP e=15'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR e // / IA►L' • ;r► Cam'
Heat l A/C ❑ Vent El Fuel /System Ai Heat Loss t BTU �s L
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: o.
EES: Valuation $ y e- . fJ`e, Permit Fee Paid $ p Park Dedication $
ISSUED BY � Date / //A 7/( 7 Final /O.P.��' — 3 - erg
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ' \i\_,■ `t)` lk AGENT /OWN `p'/ �'7 D ER / AT ADDRESS V - \ \ \.' 2�' ,� 3c-,, /, �(p 1
Y
TELEPHONE #
PERMIT NO. 44.9 r APPL. DATE / 0- 7
•
ADDRESS ziO,9 0,1,74yLZ1�
OWNER fd er7 !?dePS
NATURE OF WORK i e , >
i c
HEATING CONTRACTOR � ie?Slliui eh 129 °L
FUEL: 00 OIL ELEC. SOLAR SOLID
CONDITIONING ',FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL A/C VENT
CHIMNEY: 20 "8" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS/051 SYSTEM BTU RATING /2;1`'-e
MISC.
INSP. ROm' IN _ -' ) FINAL `pr /e$
EST. COST' 1 _ OT/ PERMIT FEES.' CAC DATE PD JJ/ 7/,f7 /
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