HomeMy WebLinkAbout0003780 HVAC (Furnace)� PERMIT - APPLICATION AND RECORD CITX OF OSHKOSH
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Address � � � - ��^a--��� Owner ��. (
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Lot Block Ward Subdivision
Type of Permit: Building � Electrical ❑ Heating � Plumbing ❑ Sign ❑ Wrecking ❑
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BUILDING Use
General Cont.
Roof
Foundation _
Size:
Height: _
feet wide X feet long
Width of Lot
Stories anti Basement
Siding
Type of Construction
Square feet area
feet above Grade
No. of Rooms
Mason
Carpenter —
Architect
Inspections -
Footing Foundation
o Electric Service R.I.
.� �
Occupancy Permit
Nature of Work
0
Zoning
_ Insp.
-_ R�° 37�0
Id. No.
� Flood Plain
= Pe rm it Date �� � �
PLllPV1BiNG COIV7RACTOR
Bu. San. Sewer Curb to Bu. Main to Curb:
Bu. St. Sewer Curb to Bu. Main to Curb
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
Urinal
S. Sink
Catch Basin
S. Pump
B & S Waste
Conductors
Total Fees
� Sewer Water Service HEATlNG CONTRACTOR �"'�'� �
Q F i n a l '3 -/O - Sd Fuel: Gas Oil ❑ Elec. ❑ Solar ❑ Solid ❑
�,� ,� Conditioning Forced Air H.W. ❑ Elec. Base ❑ Steam ❑
Estimated Cost ��� Fees Paid ���— Date .� �� a System Gravity ❑ Supplementary ❑ Air Cond. ❑
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 Chimney: "A" ❑ `� B�� Direct Vent ❑ Con. Burner ❑
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 Calculated Heat Loss -�-�-s-��-`� System BTU Rating �� �d�
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
Sewer Fees
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) �
Add ress
By (Auth r' ed Signatu
Add re
ner
Agent
ELECTRIC CONTRACTOR
Electric Service: New Changes Temp.
Description-Type Volts Amps
Fixtures Switches Recep's Circ's
Appliances
Signs