HomeMy WebLinkAbout0021627-HVAC (furnace)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
21627
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK~ / t2r(~ fv rht?L e-
5-/7 Pes
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
P HEATING CONTRAcToR--1?a '5 n1 VS 5 -rP. n I$"
c... Heat ~ AlC D Vent D Fuel/System ,AJ.- ~
""
tl-~
Heat Loss j::f /5' 7"
BTU'S
~C/~
./
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
ISSUED BY
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Permit Fee Paid $
Date
I
11 r: p-e;(
IIjM/~e:;
Park Dedication $
Final/O.P. J,- ? -<f!1l
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE_~~ ~~
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TELEPHONE #
ADDRESS
APPL. DATE III ~/f' p .~. PER.MIT NO. PIt f). 7
ADDRESS P- 3 'J- T jI-/ckof-,y )....0 he-
mmER 170 ~ ka vrJ/'UQ n
NATURE OF WOR-X ~ /tlC e ;:=:V j" JU2 C r;...-
HEATING CONTRACTOR tf2o"5~1n1/.e;;5-eU '5' fl..;.1'J'
FUEL: @ OIL ELEC. . SOLAR SOLID
CONDITIONING
SYSTEM
ORCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE. STEfu~
Ale VENT
CHIMNEY: I A' "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS F'tJt"'57 SYSTEM BTU RATING ?,O, Ch:?-O
MISC. v ,
INSP. ROUGH IN
EST. COST #- 9P-t:? < v-o DATE PD
REMARKS