HomeMy WebLinkAbout0006277-HVAC (boiler) �
�
f
� CITY OF OSHKOSH N° 06277
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS�� �—�T�'���/���i 1 V PLAN NO.
OWNER d
DESIGNER
USE/NATURE OF WORK / � �
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR �a�'� ��
Heat�A/C ❑ Vent ❑ Fuel/System /V-U`''• Heat Loss , ���.5� BTU'S l� �`�
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 $ �� �� Park Dedication $
ISSUED BY �� Date Final/O.P. ��'��'88
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /
� GENT/OWNER D E
ADDRESS :
TELEPHONE#
YERMIT N0.�/�I 7„�_�PL. DATL /�// �/ �,�Z_.__
ADDRESS �G�l� �T /%��'N/' �— -
OWNE A �'
NATURE OF WORK �� �
HEATING CONTKAC'i'OR_ �' Q'�__ �
, FUEL:� OIL ELEC SOt�AR SOLID
CONDITIONING FORCED AIR �.W. ELEC. BASE STEAM
SYSTEM GRAVITY S PLEI�NTARY AIR COND.
CHII�B�IEY: ' 'B DLRECT VENT CON. BURNER
CALCULATED HEAT LOSS��Gi`S� SYSTEM BTll RATING
MISC.
INSP. ROUGH IN FINAL
EST. COS'f �= ERMIT FEES� AT� Pb / / ��
REMARKS
I
�
�
l
i
�
�
I
(
i
i
I