HomeMy WebLinkAbout0032621-HVAC (boiler)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
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32621
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN b ZONING
FLOOD PLAIN
HEIGHT
OWNER
J 7;- 3 fJ-ic tury
LV a r 11 t: ;Z / 11'1 '1'1-e r'rl'La h
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK~11l c.-e. I3cPl! e j'\
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const..
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
H at' ~
U-f!
1\1 ;
Heat Loss. j:'yJ ,'-77
BTU'S /Pf/ ~
t
Heat ~ NC D Vent D Fuel/System
"
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
I
Type _ Volts _ Amps_
I
:
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 $ I ~ t/t::i " v'O
ISSUED BY ~
Permit Fee Paid $ jI? .. v-e:J L../
Date ;-/1/9..:7
Park Dedication $
Final/O,P,c:?-/ 1~9,~
In the performance of this ork I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE P--/(/93
DA E
ADDRESS
TELEPHONE #
APPL. DATE j)-//o/!f~ PERMIT NO. 3;.u)-/
ADDRESS__, /1,)-3 bLlc/L~/7
Ot"NER Wp V he.. Zl/J..u ffl~ r pn4' Fl
, .
NATURE OF WORK . f2p!P?e Po/II! 0
HEATING CONTRACTOR. Nar~ /-1.1'7
FUEL: ~ OIL ELEC. SOLAR SOLID
'.
CONDItIONING
SV,STEM
FORCED AIR
RADIANT
.W.
SUPPLe
ELEC. BASE. STEAM
A/c VENT
CHIMNEY: "B" DIRECT VENT CON. BURNER
CALCULATED HtAT LOSS b~j~T SYSTEM BTU RATING/t:?::r~
MISC. /
INSP. ROUGH IN FINAL ;t;lulfJ?
EST. COST jg-#c1< Vt:J PERMIT FEES 7-'5. v'zf) DATE PDjt/'i/fg
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