HomeMy WebLinkAbout0010772-HVAC (furnace)0 PERMIT — APPLICATION AND RECORD CITY OF OSHKOSH �9
vw . _ Address � �" ,�'! r� /"q Owner /'►� M C/'z � �
Lot Block Ward Subdivision
Type of Permit: Building ❑ Electrical ❑ Heating Plumbing ❑ Sign ❑
Nature of Work ei-VaGi✓ 1�7/P,PI aC�-
PLUMBING CONTRACTOR
Bu. San. Sewer Curb to Bu.
Bu. St. Sewer Curb to Bu,
Water Service
Bath Tub
Wash Basin _
Water Closet _
Kit. Sink
Water Heater _
Shower Bath _
Plumbing Fees
Floor Drain
Garbage Disp.
Dish Washer _
Laundry Mach.
Water Soft.
Bubbler
Main to Curb:
Main to Curb
Urinal
S. Sink
Catch Basin
S. Pump
B & S Waste
Conductors
Total Fees
Sewer Fees
HEATING CONTRACTOR -L � J01' /! X )t 3a s2 Jf h�
Fuel: Gas 19 Oil ❑ Elec. ❑ Solar ❑ Solid ❑
Conditioning Forced Air Df` H. W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑
System Gravity ❑ Supplementary ❑ Air Cond. ❑ Ventilation El
Chimney: "A "] "B" ❑ Direct Vent ❑ Con. Burner ❑
Calculated Heat Loss 9//_9 System BTU Rating G
ELECTRIC CONTRACTOR
Electric Service: New
Description -Type
Fixtures
Appliances
Electrical Signs
Changes
Temp.
Volts Amps
Switches Recep's Circ's
Wrecking ❑ Occupancy Permit
BUILDING Use
General Cont. —
Roof
Foundation
Size:
Height:
feet wide X feet long
Width of Lot
Stories and Basement
� ft.
ft. ft.
N-0 10772
Id. No
Zoning Flood Plain
Insp. Permit Date
Siding
Type of Construction
0
a
0
v
Q
Square feet area
feet above Grade
No. of Rooms
Mason
Carpenter
Architect
Inspections -
Footing Foundation
Electric Service R.I.
Sewer
Final
W ter Service
Estimated C0st'r3T9C 00 Fees Paid lr'� t'�' r Date
TO THE BUILDING INSPECTOR: In accordance with Section 7 -18 of the Municipal Code of the City of Oshkosh, it is agreed that if work shall be
discontinued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, orwire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wall or wire fence will remain in position until removal is approved by the
Building Inspector. X
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
(Signed)
Address
Pho
Ananf
(Authorized Signature)
Addres (v `s � 0 C � Phnnc