HomeMy WebLinkAbout0022216 Heating (Service)OPERMIT — APPLICATION AND RECORD CITY OF OSHI(O�H
` ��/-� �, G� �` � � Owner
oSHKOSH Address
Lot Block Ward Subdivision
Type of Permit: Building ❑ Electrical ❑ Heating � Plumbing ❑ Sign ❑ Wrecking ❑
Nature of Work
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 W aste
Conductors
Total Fees
Sewer Fees
HEATING CONTRACTOR � � r=�/�_���� 0 /'� �!'�
Fuel: GasY�' Oil ❑ Elec. ❑ Solar ❑ Solid ❑ �
Conditioning Forced Air [� H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑
System High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑
Chimney: "A" C�' "B" ❑ Direct Vent ❑ Con. Burner ❑ Flue Dam, �er & E.I. ❑
Calculated Heat Loss � 1Ce`'' 7�l' n � System BTU Rating �'� �-�%/�
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures
Appliances
Electrical Signs
Switches
Changes
_ Volts
Recep's
Temp.
Amps
Circ's —
N° 22216
� `� 7� /� /' �9 �?� � E' /�� �'/^ Id. No.
Zoning Parkland Dedication Fee Height Pe mit Flood Plain
Fence ❑ Pool ❑ Occupancy Permit Required Insp. ' Pefmit Date /� ��i�
BUILDING Use
General Cont. —
Roof
Fo undation
Size:
Height: —
feet wide X feet long
Width of Lot
� �Y�
Siding
Type of Construction _
Square feet area
Stories and Basement feet above Grade
0
a
0
�
v
0
No. of Rooms
Mason
Carpenter —
Architect _
Inspections -
Footing Foundation
Electric Service R.I.
Sewer.
Final_
Water Service
�-S� �4
Estimated Cost � ���`� - �� Fees Paid � �- � `� Date ���/� �����
TO THE BUILDING IN ECTOR: 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 orwire 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
By
� u
Ad ess
P ho
r
Agent