HomeMy WebLinkAbout0000184 HVAC (furnace replacement�� CITY OF OSWI(OSH
r� Address � � 0 � l�.r , �
Owner
Lot Block ard Subd ivision
Type of Permit: Building ❑, lectrical ❑ Heating� Plumbing ❑ Sign ❑ Wrecking ❑
Nature of Work: � ��� � Q.�J t'",.�" �
BUILDING Use Foundation PLUMBING COtVTRACTOR
Roof Siding Bu. San. Sewer Curb to Bu.
fVo. of Rooms Type of Const. Bu. St. Sewer Curb to Bu.
Size - Width Length Sq. Ft.
Height: Stories Above Grade
Occupancy Date
Architect _
General Cont,
Mason _
Carpenter
Heating _
Electric _
Plumbing
r�
(Rear of Lot)
Width of Lot
Area of Lot Sq. Ft.
(Front of Lot)
No. Street
ft.
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
Zoning
f�J° 1 � 4
_ Code
Floodplain
Permit Date � s!'� �7 �
Main to Curb:
Main to Curb
Urinal
S. Sink
Catch Basin
S. Pump
B & S Waste
Conductors
Total Fees
Sewer Fees
H@A�9NG CONTFiACTOR
Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑
Conditioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑
System Gravity ❑ Supplementary ❑ Air Cond. ❑
Chimney: "A" ❑ "B" ❑
Calculated Heat Loss
Direct Vent ❑ Con. Burner �
System BTU Rating
ELECTR9C CONTRACTOR
Electric Service: New
Description-Type
Fixtures Switches
Appliances
Signs
Inspections - Footing Foundation
Sewer Water Service � R.I.
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 above described construction.
Changes
� Vo Its.
Recep's
Tem p.
Amps
— Circ's
�
Electric Service stimated Cost 3��
Final Fees Paid �� Sd
Date � `1 S�' �� -
i��dd.L����=�lo ��L'�•z.z,R.��
Auihorized Signature
l +' �}�J i! �" � �� 4
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