HomeMy WebLinkAbout0022697-HVAC (furnace)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
22697
TYPE: BLDG D HTG W ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK r:zrJace n//'nczc e
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR ,r:!.u f I?'J I/?f -e p1 '5
Heat ~ NC D Vent D Fuel/System N...q<
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Heat Loss P-}Gf '1' r
BTU'S t,t?, ~
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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 _DW _DF ~ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ ~ ~ OC' cJ-CJ Permit Fee Paid $ P- 7: V7:?
ISSUED BY ~ Date o/?o/9/
Park Dedication $
Final/O.P. 6//01'11
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~'\c.J;. ~~~
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DATE .
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ADDRESS
TELEPHONE #
APPL. DATE 3// ~ ~,/9/ . , PERMIT NO. ~;2& 9 7
ADDRESS JOt/(-g J/-v););,aJ'1c!
OtJNER LAV!"'?'. Na-rho ~
NATURE OF OOR.< ~c e h ~~
HEATING CONTRACTOR. V"S1"~h~ Ic-
FUEL: (@ OIL ELEe. SOLAR SOLID
CONDITIONING \OF'ORCED AIR H. W . ELEC. BASE. STEAl'!
SYSTEM RADIANT SUPPL. Ale VENT
CHIMNEY: I I "B"
CALCULATED HEAT LOSS~~~~
MISC.
INSP. ROUGH IN FINAL k ()
EST. COST J.- etCJ-C; ~ v-o PERHIT FEES 7? < C/'-tP
REMARKs
DIRECT VENT CON. BURNER
SYSTEM BTU RATING t~ ~
.