HomeMy WebLinkAbout0021978-HVAC (furnace)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21978
TYPE: BLOG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ADDRESS
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PLAN NO.
OWNER
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DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const. Occupancy Permit
"I HEATING .c.. ONTRACTOR rkr l/no n /:If;;
L-- Heat ~ NC D Vent D Fuel/System .AI. ~J
Heat Loss ;::r~/5'T 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 _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ ;..pCJ.z:l < 0-0
ISSUED BY .~
Park Dedication $
Final/O.P. 5..... c;: q I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction,
SIGNATURE
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AGENT/OWNER
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, DATE'
ADDRESS
TELEPHONE #
APPL. DATE
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CONDITIONING
SYSTEM
RCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE. STEAM
Ale VENT
CHIMNEY: I I
CALCULATED HEAT LOSS
'. MISC.
INSP. ROUGH' IN
EST. COST /~~.~
REMARKS
"B" DIRECT VENT CON. BURNER
e-~/57 SYSTEM BTU RATING 1P-z:P ~
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FINAL
PERMIT FEES / 7. C'-CJ