HomeMy WebLinkAbout0041323-HVAC (boiler) S��
� CITY OF OSHKOSH ND 41323 t
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT
ADDRESS_ �"f� / � / //7 fl-1�Cr`' PLAN NO.
OWNER � Id0✓I �Cc !/! �i'C/h
DESIGNER
USE/NATURE OF WORK / G ,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height �
Foundation Class of Const. Occupancy Permit
,HEATING CONTRACTOR �ll�'' SG h�-��
� Heat � A/C ❑ Vent ❑ Fuel/System /�C�G� Heat Loss � y � S� BTU'S I�,��"�
.
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp � Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
—BT _WH _Disp _WSoft _CBasin
—Lav _Sh _DW _DF _San. Sewer
—WC _FDr _gP _Ur _Storm Sewer
—Sink _LTub _Eject —SS —Water
Other
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FEES: Valuation $ �`� - �'� Permit Fee Paid $ �G ` �� Park Dedication $
ISSUED BY Date ��s'�9,� Final/O.P. I '�� '9 f
In the performance f this work I agree to pertorm all work pursuant to rules governing the described construction.
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SIGNATURE � � —
AGENT/OWNE DATE
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ADDRESS
TELEPHONE M
` APP1. DATE �/�/9 y PERMIT IIO. % � ���
' ADDRESS "1 � 7 � ��'j �(/�
OWNER ��q!O!� �!/!q Q/'!
NA'IURE OF WORK �Le•�✓�Q �� `G/lr/"
HEATI NG CONTRACTOR /�'jLj/"1t ��
FUEL: � OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR . . ELEC. BASE. STEAM
' SYSTEM RADIANT SUPPL. A
CHIMNEY: "A" "B" IRECT VENT CON.BURNER
' CALCULATED HEAT LOSS �y�`S� SYSTEM BTU RATING�O,S�O'r�`t?
MISC.
INSP. ROUGH IN FINAL
EST. COST ��O'fl' .�p PERMIT FEES�G •D'90 DATE PD ft /r'
REHARKS