HomeMy WebLinkAbout0001106-HVAC (wood burning stove)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
01106
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS 9 {J ? /ki' /' YI 'f Y if. b --e-
OWNER W 4 f,Y? r He JAye rr-
PLAN NO.
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
~ ~~ING CONTRACTOR
J\ Heat ~ NC 0 Vent 0 Fuel/System
Heat
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
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
FEES, Valuation $~ ;gt7tJ
ISSUED BY . 17,..
Permit Fee Paid $
Date
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r/?7j??
Park Dedication $
Final/O.P. 1/-10 - g(P
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /ttliZ.A.'.:/". .IJ ~.~ .e-.J
1/; / ' AGENT/OWN /
ADDRESS fd,~ m~ . ~~
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TELEPHONE #
APPL. DATE
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PERMIT NO. ?1O/ltJ&
,90~ IIorn~y
,OWNER (YO I,er 1f-e/'9 l::"r V-
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NATURE OF. WORK rV r hi '5 ~ cr /h -:f'/q / J WOa;,f 5' hl/ e.-
HE..'ATING CONTRACTOR ttJ. 0../)1 -er~a~~if!!!53n' . c.--~)
FUEL; GAS OIL ELEC SOLAR SOL
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. .
ADDRESS
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY ~PLEMENTARY AIR CONDo
CHIMNEY: . . CfiY "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSSf:V:/5''t//1 tf SYSTEM BTD RATINGf/aN'o6/e
MISC. ' I
INSP. ROUGH IN FIN~L
EST. COSTJ~ ~PERMIT FEEs$'
REMARKS
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