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HomeMy WebLinkAbout0010834- HVAC (furnace) -. PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH N° 10 8 3 4 { Address .sl /I/ arik 57- Owner /4 t S C//' !d Pre w Id. No. was Lot Rlock _Ward Subdivision Zoning Flood Plain Type of Permit: Building ❑ Electrical ❑ Heating' Plumbing ❑ Sign ❑ Wrecking ❑ Occupancy Permit Insp. g- d Permit Date L� i BUILDING Use c/n ,� Q R, c. Nature of Work � P_�1C�' G P_ / (. /^ !�Q � � J f 9 J� /'yJ/ y General Cont. Roof Siding Foundation Type of Construction PLUMBING CONTRACTOR Size: feet wide X feet long Square feet area Bu. San. Sewer Curb to Bu. Main to Curb: Height: Stories and Basement feet above Grade Bu. St. Sewer Curb to Bu. Main to Curb Width of Lot No. of Rooms Sewer Fees Mason Water Service Carpenter Bath Tub Floor Drain Urinal Wash Basin — Garbage Disp. S. Sink 1 Architect Water Closet Dish Washer Catch Basin _ 1 Kit. Sink Laundry Mach. S. Pump _ K ft.H Water Heater Water Soft. B & S Waste Inspections - — .� Et.�-. k ft.� Shower Bath Bubbler Conductors Footing Foundation Plumbing Fees Total Fees / , 1 t Electric Service R.I. HEATING CONTRACTOR `/�[�� //1�C��/fc a Sewer Water Service Fuel: Gas ® Oil ❑ Elec. ❑ Solar ❑ Solid 1 o Final a -n:-.5- 7 Conditioning Forced Air tgi H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑ 17 System Gravity ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑ Estimated Cost "•, err. Fees Paid -15.. £"D Date „97,h17_,— Chimney: "A" ❑ //'�""�B" NI Direct Vent ❑ Con. Burner ❑ TO THE BUILDING INSPECTOR:In accordance with Section 7-18 of the Municipal Code of the City of Oshkosh,it is agreed that if work shall be Calculated Heat Loss GX/,5//h �/ System BTU Rating //e, M`21 discontinued for a period of 30 days at any time for any cause after excavation work is commenced,a solid barrier,wall,or wire fence not less than / five feet in height shall be erected all around such excavation.Such barrier,wall or wire fence will remain in position until removal is approved by the Building Inspector. X ELECTRIC CONTRACTOR / 1",/e• ,4/*‘-',"_7‘—• In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes,ordinances, Electric Service: New Changes Temp. codes, and rules governing the described construction. Description-Type Volts Amps Fixtures Switches ' Recep's Circ's (Signed) Owner Appliances Address Phone r By. i -c 7i�,�. . Agent (Authorized Signature) Electrical Signs s-3' s- _ �tJ . ,-�c�T `.C- 77 Address / Phone 3 5-• 7 3 PERMIT NO. /Q9/// APPL. DATE 9/9/r,- ADDRESS !2 /1/. JClrX J OWNER Ai/'IT C// i 7,/",/ 2 r & a-) NATURE OF WORK 11 ep/Qzet 1 Uri9 aG e HEATING CONTRACTOR J/Ci Ci> / 7?"'<'21-i'liff FUEL: OIL ELEC SOLAR SOLID t CONDITIONING yFORCED AIR H.W. ELEC. BASE STEAM SYSTEM `GRAVITY SUPPLEMENTARY AIR COND. CHIMNEY: "A" ' B' DIRECT VENT CON. BURNER CALCULATED HEAT LOSS yJ'S77',5; SYSTEM BTU RATING///ty,,-, MISC. INSP. ROUGH IN FINAAJ, 0/15/8',2-- EST. COST��'�llpp. ��t? PERMIT FEES 012 DATE PD ?//13/,r2 REMARKS