HomeMy WebLinkAbout0008167-HTG. (Replace boiler) � CITY OF OSHKOSH N� 08167
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [�i ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS � � � � �`'e j�� /'� � � PLAN NO.
OWNER_ C� t'/r S' WG1;/ S'� !�
DESIGNER
USE/NATURE OF WORK ' p '/ �
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ` Occupancy Permit
HEATING CONTRACTOR G /'7 E
� Heat �'A/C ❑ Vent ❑ Fuel/System ,/u � Heat Loss_G= %S�-
�—� BTU'S ���L�"�/`�
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 _DFR _San. Sewer
—WC —FDr _SP _Ur _Storm Sewer
—_Sink _LTub _Eject _SS _Water
Other
FEES: Valuation $ � �'�- �X� Permit Fee Paid $�` � Park Dedication $
ISSUED BY Date �'j Final/O.P._� `0�0 --�SS
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �� '�—
AGENT/OWNER � �
� DA
ADDRESS
TELEPHONE#
PERMIT Nn. ��,S�jl L � APPL. DATE ^ / _
ADDRESS ���_/%�{�'�'� �
�,1NER C�� {��"� (�C-�Q✓SOL;L
,
NATURE OF WORK U
HEATING CONTRACTOR f��� C1'— �'
FUEL: � OIL ELEC SOLAR SOLID
CONDITIONING FORCED AIR �.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND,
CHIMNEY: ' ' ' B ' DiRECT VENT CON. BURNER
CALCULATED HE T LOSS���(°/-� SYSTEM BTU RATINGJ��S'� .
MISC.
INSP. ROUGH IN FINAL d�
EST. COST . U`�ERMIT FEES�. DATE PD� /�-
RE MARKS
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