HomeMy WebLinkAbout0018053-HVAC (furnace)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18053
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
..-.. --.... --.. -- .......... --.. --....- --.. --........ -- --.. -- --.. -- --- -- -----.. --.... ---.. ---..
ADDRESS
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f}a /' f' Y f /'i/ },7V
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK ~ hc..-e-- hr/t6? c e--
7; P tile c:;-
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
;Foundation
Class of Const.
HE;"~TING CONTRACTOR ,Fit} f/1lr~U
6 Heat ~ NC D Vent D Fuel/System
I#y
N~t?
,
Heat Loss
IF~/rl
,
BTU'S
;;,~. ~
~
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 _LTub _ Eject _SS _ Water
Other
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FEES: Valuation $
/7/ 9, ~
'~~
Permit Fee Paid $ P-?, V'-t:!7
Date q/y/ 9 t:J
Park Dedication $
Final/O.P. ~- /9 - 9/J
.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
1J~ q( i-~~
AG WNER
/6 oS-' ~~ ~
ij fd ?/.?
DATE
r3' 35~ ,- a..!( t
ADDRESS
TELEPHONE #
APPL DATE PERMIT NO. 12'06- 3
ADDRE.gS
OWNER
t;
NATURE OF WORK
HEATING CONTRACTOR
FUEL: @ OIL SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A C
CHIMNEY: "A" "B" 9?>IR€CT VENT CON. BURNER
CALCULATED HEAT LOSS r-Jt /5' y--- SYSTEM BTU RATING &~ ~
MISC. '
INSP. ROUGH IN FINAL / Iii <9P'
EST. COST /7/ J < ?<-CJ PERMIT FEES 'J- ?< C-(:! DATE PD ~ '~
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REMARKS