HomeMy WebLinkAbout0018511-HVAC (repair chimney)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
18511
TYPE: BLDG 0 HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
Rep a//'
ch/fl111 ev
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
e HEA:~:~ ;N~~~TO:ent~~:~:s=:
El!..:CTRIC CONTRACTOR
ch /ny tJ'I~ c; tJ ec/a//7 \75
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Heat Loss
BTU'S
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
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FEES: Valuation $ , 7 )~ ~ Permit Fee Paid $ I 0: cY-V V Park Dedication $
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ISSUED BY Date Final/O.P. 1>-2'-{-1(
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE O~
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ADDRESS ?-5 pC!
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~~ENTIOWNER
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/ DATE
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TELEPHONE #
APPL. DATE' ;;!;4jftJ PERMIT MO. /1:7//
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mmER Wp 7: 1: P' 5" It 0 U/
NATURE OF WORK ~q/I" ch,'rnFJ e';/
HEATING CONTRACTOR J&I{/tl ncv>d ch/h?f7<t?v
FUEL: c!!!iJ' OIL ELEC. SOLAR /
CONDITIONING FORCED AIR H.W. ELEC. BASE.
SYSTEM RADIANT SUPPL. Alc VENT
~~C/~'!'57 7'
SOLID
STEAM
CHIMNEY:
CALCULATED HEA
MISC.
INSP. ROUGH' IN
EST. COST ,'7,"-: 0'"0
REMARKS
DIRECT VENT CON. BURNER
SYSTEM BTU RATING
FINAL
PERMIT FEES j..r:.C"-&