HomeMy WebLinkAbout0007078-HVAC (furnace) /� CITY OF OSHKOSH N° 07078
�' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [�QELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ��-�9 7 �Y j''j�/��� � PLAN NO.
OWNER L-d�/ G�j (J �L�
DESIGNER
USE/NATURE OF WORK L
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ���'��2��1l�7��'`�
� Heat � A/C ❑ Vent ❑ Fuel/System Heat Loss�x���� 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 $ �� �-�`� Park Dedication $
ISSUED BY r-� - Date �p � Final/O.P. 3 - //' 8 8
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ���2� — �
AGENT/OWNER DAT
ADDRESS v �� c�����3�T
. TELEPHONE# '
PERMIT NO. �.�i �� 7 r�,� APPL. DATE �-� /� 7/ ,�,�'���
ADDRESS /,�/.y �� �d�{'/' � ��
OWNER ��'r /"'� / �'C�? � GI 1�., '�- -
NATURE OF WORK ,J� %/-��C �`'" /- '�-�� '`�`=
s HEATI�IG CONTRACTOR s,%.l �/���<� �
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FUEL: S ` OIL ELEC SOLAR SOLID
• CONDITIONING�RGEA AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
Gt1Ip1NEY: ��A�� "g" IRECT VENT CON. BURNER
CALCULATED HEAT LOSS ����'`—' __SYSTEM BTU RATING �C�F/"�'`/�
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MISC.
iNSP. ROUGH IN FINAL f/
EST. COS3'� � : L�'PERMIT FEE�/Q': � � DATE PD � �
� REMARKS
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