HomeMy WebLinkAbout0011789-HVAC (furnace)
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Lot
PERMIT - APP~ICf.C TION AND RECORD
7/5- fbq/clw/n
CITY OF OSHKOSH
Owner J) t7 VI 1'r: I I Á/ ~ I r h
Address
Ward
Subdivision
Sign D
Block
Type of Permit:
Building D
Heating [JP
Plumbing D
Electrical D
Nature of Work
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
Sewer Fees
Water Service
Bath Tub Floor Drain Urinal
Wash Basin -- Garbage Disp. - S. Sink
Water Closet ~ Dish Washe' - Catch Basin
Kit. Sink Laundry Mach. - S. Pump -
Water Heater ----'----- Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
I
HEATING CONTRACTOR (' £! I1clt2.i'1 ítP
Fuel: Gas ~ Oil DElee. D Solar D Solid D
Conditioning Forced Air 1Si H.w. DElee. Base D Steam D Radiant D
System Gravity D Supplementary D Air Condo D Ventilation 0
Chimney: "A" D "B" D Direct Vent ~ Con. Burner D
Calculated Heat Loss P'- (./>f/ h 'I System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures~
Appliances
Changes
Temp.
Volts
Recep's
Amps
Circ's
Switches
Electrical Signs
N~
11789
Zoning ~-
Insp. .
Id. No.
Flood Plain
Wrecking D
Occupancy Permit
Permit Date
BUILDING Use
General Cont.
Roof
Siding
Type of Construction
Foundation
Size:
-feet wide X
Square feet area
feet long
Height:
above Grade
Stories and Basement
Width of Lot
No. of Rooms
Mason
Carpenter
Architect
~t
l
I
~t.
Inspections -
Foundation
Footing
:3 I Electric Service
R.I.
4
Estimated Cost ß ~t!J?t7, t:?"tP Fees Paid
TO THE BUILDING INS CTOR: In accordance with Section 7-1 Bofthe Municipal Code of the City ofOshkost(it is /greed ihat if work shall be
discontinued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, orwire fence not less than
five feet in height shall be erected all around such excavation. Such barrier. wall orwire fence will remain in position until removal is approved by the
Building Inspector.
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
(Signed)
Ad~ - Phone
By \A )~~ ( ~.œU 'lð1)i\¡ C-'1'Mfbd-:(, lÃY , Agent
(Acth",',,' SigoaM') 7
Address P.c>~ ~,~~l) %~~ Phone~~~It\v>