HomeMy WebLinkAbout0027535-HVAC
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
27535
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ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK If-V.It:C-
¡V-ew
'i/orh¿..
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
t HEATING CONTRACTOR Ú nJ,n '/ò 'f¡;;;./ r;Yvl1~t" r TnL--
Heat ~ NC r¡y Vent 0 Fuel/System 1tL G. Heat Loss KH '11 ¡J
BTU'S 82'- ~
c;- g Íz, /7 19- J c.
, ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type - Volts - Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
- CBasin
_WC
_FDr
_LTub
_SP
_Ur
- San. Sewer
Storm Sewer
_Lav
_Sink
Other
_Eject
_SS
_Water
FEES: Vaiuation $ 5""7'3'6: dt:J
ISSUED BY ~~
p'-(:I V'
Permit Fee Paid $ t. ?
Date ~/':/9~
Park Dedication $
Final/O.P. 1/-4-1;)
TELEPHONE #
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In the performance of this work I agree to perform ail work pursuant to rules governing the described construction.
SIGNATURE~
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AGENT/OWNER
'¿/&/~%--
, DATE
ADDRESS
APPT. DATR '? / t I q k PERMIT NO. ~ '?,? ¿-
ADDRESS ~ 9ðO fØ øddv ~r
OWNER /'fa 'ìnW/f - k-e /1.et-:7ÞTf'¡yer
NATURE OF t~ORK H.v..ø-C-- - A!eGV t:løru-=-
HEATING CONTRACTOR Cøh~n 'f?:, 'fq/ LßÙ<~I"r;-- J;-¡eL
FUEL: @ OIL @ SOLAR SOLID
CONDITIONING
SYSTE~I
i'
H.W.
SUPPL.
STEAM
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