HomeMy WebLinkAbout0039997-HVAC (furnace) CITY OF OSHKOSH
N2 39997
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG V ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 LUOCJ p PO PLAN NO.
OWNER C`f ll L°- 4o r
DESIGNER / �^
USE /NATURE OF WORK a� /" ! Ct c e !mot/ r sZ 4 ` , e c j •
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 5/1 ) !'3 " g 03
g . Heat 112 A/C ❑ Vent ❑ Fuel /System N--6 Heat Loss t)` ` `9 r BTU'S 7 G`✓`e
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 $ / - C• Permit Fee Paid $ /4:49 -� I Park Dedication $
ISSUED BY Date A5/ Final /O.P. /0 - 9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �/'� %ry [ E
AGENT /OWNER ATE
ADDRESS
TELEPHONE #
APPL DATE 3 1 87 ' PERMIT NO . % 7 99 7
ADDRESS 5a,2 tte
OWNER r4 V 6 2,0r
NATURE OF WORK rt riaC /4:cv"!2 r.
HEATING CONTRACTOR 5'/? r -j 19 r,as Al* �..13,
FUEL: ea, OIL ELEC. SOLAR ! SOLID
CONDITIONING ((FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. AfC VENT
CHIMNEY: 'a.0 DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS P SYSTEM BTU RATING t,
MISC. t
INSP. ROUGH IN FINAL /017/97
EST. COST / . e' . Up PERMIT FEES JO. Gie DATE PDG //, 4 79 7
REMARKS
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