HomeMy WebLinkAbout0016406-HVAC (furnace)
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CITY OF OSHKOSH N2
PERMIT - APPLIC.ATION AND RECORD
16406
TYPE:
BLDG D HTG [)! ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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~ 1'111/5 lI/cki?/av:5
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK Rp-f lace F l/ r It ace....
/=F: tK€5'
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR r / a 11/ f ON Ifi/7
[ Heat ~ Ale 0 Vent 0 Fuel/System j/ .{;
Heat Loss ~~/"S 17-
,
BTU'S 75) ~
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
. PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
rf ----'- Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
FEES: Valuation $
q I ~ crt? Permit Fee PaId $
. p~ Date
~cH? //
~~/Y
Park Dedication $
Final/O.P. 1- 9 - '10
ISSUED BY
work I a ree to perform all work pursuant to rules governing the described construction.
SIGNATURE
II ?L~7
ADDRESS
/60 L;
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TELEPHONE #