HomeMy WebLinkAbout043097 - Heating (furnace) 41). CITY OF OSHKOSH N° 43097
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG It} ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,1/if itioa j' ' 1/ tN r2py �
_ PLAN NO.
OWNER r��G(�' , � -_'-' sue'. - e II z!' /G
DESIGNER J,, ,,,
USE/NATURE OF WORK 1L9'/D G L° f" , IA'la G , ,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
t...-- HEATING CONTRACTOR �/la' /4
Heat 1r A/C ❑ Vent ❑ Fuel/System AA / Heat Loss ky I 5Th 0-61--e7
5✓ BTU'S !, /
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 $ /"V . efrei Permit Fee Paid $ f�° 6✓` f
Park Dedication $
ISSUED BY Dateg---A d9? Final/O.P. (mil12NS-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / //V-
AGENT/OWNER DATE
ADDRESS 45-3 5—: /gl�7--- /91/6 . eZ 3 s` 7397
TELEPHONE#
gni 1111:LULL at 0�
l'iJqieasse,....•.,.......r ....
.
ADDRESS 4 i i i ,
OWNER
e ll ' ,,,, i i
NATURE OF WORK / An..6' Ay), -e-c°
HEATING CONTRACTOR //ate
FUEL: AS,� OIL ELEC.
.y' SOLAR SOLID
CONDITIONING ORCED AIR H.W.
SYSTEM ELEC. BASE. STEAM
RADIANT SUPPL. A
CHIMNEY: "A" ��
CALCULATED HEAT LOSS .B << . 1IRECT VENT CON.BURNER
MISC.
iT SYSTEM BTU RATING 7C✓�''`
INSP. ROUGH IN
FINAL fiz
EST. COST
00ecie PERMIT FEES i a r
REMARKS DATE PD J 56'