HomeMy WebLinkAbout0027401-HVAC (boiler)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
27401
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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- /:ff~ H I J N A v Ie. PLAN NO.
.F JIfO' rl 'I-<t?PI PC J?P1"7
ADDRESS
DESIGNER
USE/NATURE OF WORK---fJr;/ /:lee pcP/ler
/? P~1lY5
, ~ ..
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR ~t //:5 tr.z4 ~~r?,
Heat ~ NC 0 Vent 0 Fuel/System /tI- t;;.
Heat Loss 117 Jlj/p
BTU'S~ ~ 4 94Pt:'i7..~
e
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBII\JG CONTRACTOR
--'- BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ / f'. ~ ~ v-t?
ISSUED BY ~/
Permit Fee Paid $ I ~ jl , ~- f? I
Date #/;p/9~
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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TELEPHONE #
APPT~ DATE ,j- Ii '1/9 ~ _ PERMIT Ito.
j& 9 I3rt?cun $/l':
OWNER 'fh (71'1Ul~ 13 r t' ":1;1?Ut /J
NATURE OF tolO~ o/lace #t9/ r c r
HEATING CONTRACTOR Wl'll-5 ""~~d a~-h
FUEL: @ OIL ELEC. SOLAR
CONDITIONING FORCED AIR .W.
SYSTE~1 ~ RADIANT SUPPL.
.:;. 7~&1
ADDRESS
L4dl' 0/
SOLID
ELEC. BASE.
A C
STEAM
CHU1NEY: ., "8" DIRECT VENT CON. BURNER
CALCULATED HEA LOSS ~ bpI? SYSTEM 8TU RATINGJttf1f4ttreJ~",
MISC.
INSP. ROUGH IN FINAL Ct '/~
EST. COST!J.I6', ~ . (70 PERMIT FEES /43'"?"o DATE PD'
REMARKS .