HomeMy WebLinkAbout0003271-HVAC (furnace)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
03271
TYPE: BLDG D HTG QSV ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS / rIll 1fr1/11//'/dn
OWNER fer'Thy Ldte-
PLAN NO.
DESIGNER
USE/NATURE OF WORK f2at/aice {:;-/,r noc e -
5' - r. /2 es ~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR rlaf'1I'fQ/7
Heat ~ NC D Vent D Fuel/System
fl72j/
!I~
Heat Loss j:XIrt;'fl4
, /
BTU'S ,1t}~
\
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 _FOr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
7
FEES: Valuation $ 17!J- ~--; t?-tfJ Permit Fee Paid $ / %: ~ j
ISSUED BY r::/-a.~ Date 3)JtJ,/r 7
Park Dedication $
Final/O.P. Cc/ /o/~/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
Ja~'(/>~~~
/ - ~GENT/OWNER
/~05-~. /J~?1
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/ DAfE '
i). 35--~ /(~
ADDRESS
TELEPHONE #
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~ER..'1IT NO. CJ 1 .1- 7 I
ADDgESS I tJ; i lIa m//Jcy n sr.
OtmElt ku Th ~ iLl .re.-
I. .
NAnJU . OF WORK . lJ?1f! t2 t: e Fv rM /2 c e-
HEATING CONTaACTOR '. pia M/j?U h fl-lf
FUEL: @ OIL ELEC. SOLAR SOLID
CONDITIONING ORceD AIlt H.W. ELEC. BASE.
SYS1'EM RADIANT SUPPL. Ale VENT
CHIMNEY: " "B" DtREC'l' VENT CON. BtmNER
CALCt!LAttD HtA: Lossh/,,;; it'h? SYSTEM BTU RATING 1Jt::;, ~
MIse.
INSP. ROUGH IN ( . E'INAL
EST. COST ,r~ 7 ~ ')-- cJ-C} PERMIT FEES / ..
REMARKS
APPL. DATE.
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