HomeMy WebLinkAbout0010063-HVAC
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10063
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
19,13(;
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
lJ-JoI ~/ r_
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR II tl t'.)( f!/lz.
l Heal 0 AlC ~ Venl 0 FueuSyste;J;J- ~
Heat Loss ry;/5' V
BTU'S
I 1).7- J7;P /? !tI
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
I
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
FEES: Valuallon $ ~~ < t:I'& P",mll Fee Paid $
ISSUED BY . /' '-- Date
/~
/ ~ ~ V' Park Dedication $
. 1/,1-/0' f Final/O.P. / () -/3- RY
/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
AGENT/OWNER
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DE'
SIGNATURE
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ADDRESS
TELEPHONE #