HomeMy WebLinkAbout0040712-HVAC
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N!! 40712
TYPE: BLDG D HTG i23' ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
If 1 t /J-r/~p/4-Ci'
f) fA e y..e r
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK~~Ce FPrnuc-€'_
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
~.. HEATING CONTRACTOR froM th. 51. 57'a-HC' ~
~_ Heat [if' AlC D Vent D Fuel/System -L1t- b'.; Heat Loss /::~:f~ "if
BTU'S Z'lozr-t?
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type
Volts _ Amps_
Circuits
Fixtures
Switches
Receptacles
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
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Permit Fee Paid $ I? ~ c~ /f
Date 7/ .J!t-/9 ~
Park Dedication $
Final/O.P.
FEES: valuation~" 8 7
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ C2~ 7/.fl(i-/ 9$'
7,"/ - ~NTIOWN~~ DATE
ADDRESS~ / .R,,;;y ##t2/ ~____:::e 02,]>~ ff7?o
TELEPHONE #