HomeMy WebLinkAbout0043986-HVAC (furnace)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
jC70
N! 43986
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
79) W 17fh Of/e.
Vernun /vker
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK~I ~Le &rJituce
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
""
,HEATING CONTRACTOR 6!ar frnClh JI..!f9
t He.t!!<p Ale 0 Vent 0 FueVSystem )J.Q
Heat Loss ?"Pl~'1
BTU'S tt' ~ t7Z7Z?
,
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type
Volts _ Amps_
Circuits
Fixtures
Switches
Receptacles
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_FOr
_ LTub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_WC
_Ur
_ San. Sewer
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
FEES: Valuation $ 1~1/7?... ~
ISSUED BY ~
!
/
Permit Fee Paid $ /9", ~ j
Date 1/ ./L/9 J
Park Dedication $
Final/O.P. 0- /1-1..5'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
f).1.- CJ~
AGENT/OW R
1J~'?ir
, DA
ADDRESS
TELEPHONE #
APPI. DATE
PERMIT MO.
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q) ~I ejj-
7/fd Lv I (/h
OWNtR Ve r 11 () P1 ~ C/ k r! r
NATURE OF\"ORK ~/t2ceFvrH4Ce..
HEATING CONTRACTOR 6or"'" /nP 11 ~
FUEL: @J OIL ELEe. SOLAR
CONDITIONING ORCED AIR H.W. ELEC.
SYSTEM RADIANT SUPPL. A C
:?..-
ADDRE~S
SOLID
BASE.
STEAM
CHIMNEY: "A"
CALCULATED HEAT LOSS
MISC.
INSP. ROUGH IN
EST. COST Io/~. ~
REMARKS
"s"
E"f-/$ J
IRECT VENT CON. BURNER
SYSTEM BTU RATING /;,ttf?J ~
.
FINAL 1J//7/'ir
PERMIT FEES 19",et:; DATE PD1/~/~~-