HomeMy WebLinkAbout0037425-HVAC (furnace) �
/� CITY OF OSHKOSH N° 37425
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS���/ ,J_aG"/CSO/� PLAN NO.
OWNER , / ON�'1 �/'I�Q
DESIGNER
USE/NATURE OF WORK-__�L� / " 4'C� �!/�"`1Q�e J�_T'•
BUILDING CONT'RACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR �/-��'��'y14�'! �7�-' �
, Heat � A/C ❑ Vent ❑ Fuel/System ✓1���0'' Heat Loss ��`�'j� BTU'S �� ��
r
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 $ /y�`�• �8 Permit Fee Paid $ l9` �� � Park Dedication $
ISSUED BY �,,��� Date �����q� Final/O.P. �
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � � `
AGENT/O R DA
ADDRESS
TELEPHONE N
APPT� DATE �� ��/�� PERMIT ft0. 3 �`���^
ADDRESS !��[/ TG G�Splij
OWNER ��lJ`j_s'J �h L°li
NATURE OF WORK ���4 z-t� �v{^!�t�it.�
HEP.TING CONTRACTOR �yf"J'`vylpy /�
FUEL: S OIL ELEC. SOLAR SOLID
CONDLTIONING ORCED AIR H.GI. ELEC. BASE. STEAM
' SYSTEM RADIANT SUPPL. A C
CHIMNEY: "A" "B" IRECT VENT CON.BURNER
CALCULATED HEAT LOSS ���'S T SYSTEM BTU RATING �°
MISC.
INSP. ROUGH IN FINAL '
EST. COST J Lj(��d . «p pERMIT FEES j9�U`n DATE PD/4� �
REMARKS
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