HomeMy WebLinkAbout0015041-HVAC
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~ TY~E: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT
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;. ADljRESS I q'V/6 0 Fe -k t2 Y'd k J1 e..- PLAN NO.
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OWNER ~b'r/-e Fr'c>hr//;
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
15041
/ DE~IGNER
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iUSE/NATURE OF WORK
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* BUILDING CONTRACTOR
ilsize Sq. Ft.
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1 Foundation
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t HEATING CONTRACTOR 0 (-<./ n ~ r
V ,Heat ~ NC ~ Vent 0 Fuel/System IV- LA
# Rooms # Stories
Height
Occupancy Permit
Class of Const.
Heat Loss fJ--1' ~p
BTU'S 75/Ch:J-t:J J'-
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ELEpTRIC CONTRACTOR
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'Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
'Fixtures Switches
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PLU~BING CONTRACTOR
Receptacles
Circuits
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_Lav
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_WH
_Sh
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_ San. Sewer
_WC
_FOr
_ L Tub
_Ur
_ Storm Sewer
~ L- Sink
_ Eject
_SS
_ Water
Other
FEE$: Valuation $
Iss0ED BY
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Permit Fee Paid $
Date
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Park Dedication $
Final/O.P.
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In tne performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIG~ATURE ~~(\) ~1\~nLb ;y}zdr;;
,1 AGENT/OWNER DA E
ADD,RESS
I TELEPHONE #
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PERMIT No.fPjf?;?Lfj APPL. DATE ""/1/'tI )>2-
ADDRESS 1.?-f1 e?rdCi'/'d' /1// 1-;7 6'
OWNER r;~c:; t:Q p F fr1 011 j/1 p' h
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NATURE OF WORK I-!- ea'j-//L? AI I!'U/ /k;yn-e.-
HEATING"CONTRACTOR '3'-!~~ '" /'
FUEL: @ OIL ~ SOLAR SOLID
CONDITIONING <(tORCED AIR. H. W., ' ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY. )CAIR CONDo
CHIMNEY: "A" 6Jl~D RECT VENT' CON. BURNER
CALCULATED HEAT LOSS /ffY;, . rp SYSTEM BTU RATlNG7?:~~
MISC. 1 ,
INSP. ROUGH IN FINAL
EST. COST c7 ~ ~PERMIT FEES ?;~.
REMARKS . . . .