HomeMy WebLinkAbout0001182-HVAC (furnace) � CITY OF OSHKOSH No _ 01182
`' PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS—�r � ���`''/'/` � PLAN NO.
OWNER� Z P�/ L�!l���"!E! �G�'/!�2°`'
DESIGNER
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USE/NATURE OF WORK /QC � �/ �" C ����
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR T '
Heat � A/C ❑ Vent ❑ Fuel/System�� �� Heat Loss � � 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
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FEES: Valuation $ � �� Permit Fee Paid $ � ��� Park Dedication $
ISSUED BY � Date y Final/O.P. 1�-�o - $�P
In the performance of this work I agree to perform all work pursuant to ru�es governing the described construction.
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SIGNATURE �/ �
AGENT/ ER ATE
ADDRESS �o C�L� �� —`
TELEPHONE S
PERMIT N0. �`f�� APPL. DATE`�
�D�ss �� �� d�l���,��.�;�
OWNER � G< C !�
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NATURE OF WORK �I�j1�� FvY vl 4 C°P
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HEATING CONTRACTOR ���b���j �j�.
FUEL: AS' OIL ELEC SOLAR SOLID
CONDITIONING �ORCED AIR H.W. ELEC. BASE STEAM
SySTEM � GRAVITY SUPPLEMENTARY AIR COND.
CHIA43EY: ' ' "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ` SYSTEM BTU RATING-�
MISC. '
INSP. ROUGH IN FINAL
EST. COST�/.7 7 . ��ERMIT FEES�_ ATE PD
REMARKS T�