HomeMy WebLinkAbout0043783-HVAC
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N! 43783
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
"
Foundation
Class of Const.
9 HEATING CONTRACTOR---W r-eU/ e-r
'L.......- Heat ~ AlC D Vent D Fuel/System
#-iJ
}.t _C.
Heat Loss;4--:5' ~n
r
BTU'S~e~~~
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ Eject
_ WSoft
_DF
_ CBasin
_WC
_Ur
_ San. Sewer
_ Storm Sewer
_Sink
Other
_SS
_ Water
FEES: Valuation $ t// tJ1JI .. c:J-t}?
ISSUED BY ~
J
Permit Fee Paid $ {, 7 ~ t;J-t:/ .I
Date c7//tJ/9,
,
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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,
'p-;/o/9r
DATE
ADDRESS
TELEPHONE #
APP1. DATE /"'/11/ ~ '1
ADDRESS .J.- tj,/g +:;. 0/'1t-
OWNER 7"e&vrl fy tlePn'l!3S
NATURE OF to/ORK JJ.-J/s..,~, J/-eU/ D o~/e'P
HEATI NG CONTRACTOR ---Y3 Y' ec.u e r J./-ry
FUEL: ~ OIL ELEC. SOLAR
CONDITION[NG H.W. ELEC.
SYSTE~l SUPPL. A C
PERMIT t{O. ~!7 0'3
f3/ake crt-,
SOLID
BASE.
STEAM
CHIMNEY: "A"
CALCULATED HEAT LOSS
MISC.
INSP. ROUGH IN
EST. COST ? J t7~. trP
REMARKS
DIRECT VENT CON. BURNER
SYSTEMBTU RATING ?tf?~.@J
FINAL
PERMIT FEES