HomeMy WebLinkAbout033500 - HVAC (furnace) fee
CITY OF OSHKOSH N°- 33500
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ( ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ' /T ki.
L'J la,L/ PLAN NO.
OWNER :51/C'(L' C - ;,-,E' - i it t ,
DESIGNER
USE/NATURE OF WORK 4/Q C 6 //t'/'/I C E;'m
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
/- HEATING CONTRACTOR d r t' -e'1 ' !T f
P Heat ' A/C ❑ Vent ❑ Fuel/System /i,�/•e'+M1 Heat Loss .h`k`'!‘j 1 BTU'S h/t,0-e.---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 $ �/_,. G - G"C Permit Fee Paid $ 'l° /` Park Dedication $
ISSUED BY ci�T Date/ k/�9 Final/O.P. /O+C./
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE // 91. `I�///�/�///93
AGENT/OWN / DATE
ADDRESS 46117n 7 / f- ' 'f
TELEPHONE#
APPL DATE t fc
ADDRESS ` - PERMIT Np• " 3 s 'C
OWNER
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SL/ 'AL c"
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NATURE
OF WOE
...
HEATING � ,C .c A • , 4
CONTRACTOR ,
FUEL: A ). L F:_.
OIL ELEC,
SOLAR
ORCED AIR SOLID
CONDITIONING
SYSTEM R.W.RADIANT ELEC. BASE.
CHIMNEY: SUM. A C STEM
CALCULATED HEAT LOSS "B" S DIRECT VENT
MISC. CON.BURNER
INSP, SYSTEM BTU RATING <fv ,
ROUGH IN
EST. COST 6c,e. c FINAL
REMARKS PERMIT FEES'f� '
'�- _DATE PD /l( 99