HomeMy WebLinkAbout0025150-HVAC (furnace) � CITY OF OSHKOSH N° 25150
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT '
ADDRESS � �/
PLAN NO.
OWNER 1��e r nc�� /�� �
DESIGNER
USE/NATURE OF WORK /Lp r/I"f'J Q�
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Tf��i� — � ���'i? �!�
� Heat� A/C ❑ Vent ❑ Fuel/System /Y--�- Heat Loss ��/�S� BTU'S
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: Valuation $_ � ��� Permit Fee Paid $ ��� O`� Park Dedication $
ISSUED BY_ Date �'�!��/ Final/O.P. � - � y "I/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
.. AGENT/OWNER
D TE
�DRESS
TELEPHONE# �
APPL DATE � PERMIT 1�0. ,�_��cJ D
ADDRESS O ' L(/� .�.
OWNER ��/^�y�rc� ���
NATURE OF WORK J� Q G� ��/�'!2Q L'�
HEATING CONTRACTOR ��.��G,� �PN �"�G`,
FUEL: AS OIL ELEC. SOLAR SOLID
CONDITIONING '(-rORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A C VENT
CHIMNEY: ' " "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS �p�S J— SYSTEM BTU RATING_�,l;`��
MISC.
INSP. ROUGH IN FINAL y
EST. COST �� G�j � GcU PERMIT FEES h/ � �p DATE PD� /
RFMARKS
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