HomeMy WebLinkAbout0038177-HVAC (2 furnaces)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
~
38177
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
,7~ 7 O:-rt"ln4 5"'-.-
C hvck kohls
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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d ~rl4aCl:!? 5"
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,
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
. HEATING CONTRACTOR tv t!?7" /t?( .~
g Heat fj:l1 Ale 0 Vent 0 Fuel/System AI- d
Heat Loss j.:::y, ~I
BTU'S lilP ~ ~
,
i
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_WC
_FDr
_LTub
_Ur
_ Storm Sewer
_Sink.
Other
_ Eject
_SS
_ Water
FEES: Vatuauon~ . c-<e'
ISSUED BY
I
Permit Fee Paid $ // #,. ~~ j
Date~..;t,.:-/qf" .
Park Dedication $
Final/O.P. Lj-r J-'t - 9df
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
7uLf~ ~A~
AGENT/OWNER
..ft-/~;v/ ~j/
, , DATE
ADDRESS
TELEPHONE #
OWNER
APPT~ DATE ?//t-/~f
ADDRESS U 7 G ra f.t d 5t'
Ch<f / c/L !.(p4/.r
NATURE OF \o/ORK. (l.e~/e C e ~
HEATING CONTRACTOR tv e''S' /~ 'Y
FUEL: (@ OIL ELEC.
PERMIT NO.
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FOl'h&ce 5'
~
SOLAR
SOLID
CONDITIONING
SYSTEH
ORCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE.
A C
STEAM
CHIMNEY: "A" "s" :t9IRECT VENT CON. BURNER
CALCULATED HEAT LOSS 1T~t!s-r SYSTEM BTU RATINGM~ch9P'-<&
MISC.
INSP. ROUGH IN
EST. COST qg-~ ~
REMARKS
FINAL 'i
PERMIT FEES /73.. t'h!P