HomeMy WebLinkAbout0047876-HVAC (furnace)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
6lYZ'
N!!-47876
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
11;t I 601"+/ 'e--Ic/
.
IJllre t:uhdf./
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK 41 ac ~ F~/'thL2L"~
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms # Stories
Class of Const:
Height
Occupancy Permit
T~11 ~ "5", 1'~l-/'p /;?
Heat ~ NC D Vent D Fuel/System AI.....C--
Heat
:----
Loss ~(,f I )- :r
BTU'S 0' 7J; ~
HEATING CONTRACTOR
~
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
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Permit Fee Paid $/ <f.. CJ-6l
Date t~/J.. 3'/.9,-"
/
Park Dedication $
FEES: Valuauo~ 9"~ 7 7
ISSUED BY
Final/O.P.
J '6~ 111
SIGNATURE
In the performance of this work I a ree to pe~ pursuant to rules governing the described construction.
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AGENT! R .. If' DATE
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TELEPHONE #
ADDRESS
APPT. DATE #,,/rz/'1 r PERMIT ~o97?7&:>
ADDRESS--"II.P/ &rt/~kI
OWNER ---'j,../fJ-:ttc. .p t" v H d Y
NATURE OF WORK
HEATING CONTRACTOR
FUEL: V OIL
ELEC.
SOLAR
SOLID
CONDITIONING
SYSTE~1
RCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE.
A C
STEAM
CHIMNEY: "An ::an
CALCULATED HEAT LOSS ~ I
MISC.
INSP. ROUGH IN FINAL ~
EST. COST I 7- Cf;;.. W PERMIT FEES I?, Ot)
REMARKS
IRECT VENT CON. BURNER
SYSTEM BTU RATING '7~~
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DATE