HomeMy WebLinkAbout0031288-HVAC (boiler)
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CITY OF OSHKOSH N2 31288
PERMIT - APPLICATION AND RECORD
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK ~/~c.e- #t?/Ier
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
(/ HEATING CONTRACTOR tParaT't-nQl.1 H-1"f
6. Heat'$ NC D Vent D Fuel/System /tI_tJ--
Heat Loss I=~ J t., V-
BTU's/~~
I'
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
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
Othe.r
FEES: Valuation $ ;t:LPt'J?., CJ-e,;)
ISSUED BY ~----
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
ADDRESS
TELEPHONE #