HomeMy WebLinkAbout0027224-HVAC (furnace & a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
27224
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BLDG D HTG.~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
TYPE:
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK~/tlC e
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
,
Occupancy Permit
HEATING CONTRACTOR-W.L '51~1
Heat ~ AlC '$ Vent D Fuel/System
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Heat Loss .H PfP
BTU'S J')!;~
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ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
..
_BT
_Sink
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_WH
_Sh
_ San. Sewer
_Lav
jI
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
Other
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FEES: Valuation $ ~
ISSUED BY .. -
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Permit Fee Paid $ ;"9, iHf:?
Date ,p /7/9r
,
Park Dedication $
Final/O.P. '-1- J ~ c; ~
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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DATE
ADDRESS
TELEPHONE #
PERMIT NO. 17 J~ i
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NATURE OF WORK ~ll2c.t'":- pVrRQCe. rr-A/"&
HEATING CONTRACTOR W ~ t+~
FUEL: (!!!j' OIL . SOLAR SOLID
CONDITIONING 'RORCED AIR H . W . ELE C. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ~ ~OND.
CHIMNEY: "A" "B" /DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS j?Yi 5 r . SYSTEM BTU RATING J~f~
MISC. -' . - .
INSP. ROUGH IN FINAL
EST. COST~~~.~PERMIT FEES
REMARKS
APPL. DATE
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OWNER
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ADDRESS