HomeMy WebLinkAbout0010066-HVAC (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10066
TYPE: BLDG 0 HTG}?J ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
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ADDRESS
J '3 L? j 13 I 5" J?7 G ,,/::... A- f/ L
1) ~ a 11 ,)c~ u J r -z -
PLAN NO.
OWNER
DESIGNER
fJJofJ IY/ L
"J: F rK e S
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
L
HEATING CONTRACTOR H tl r )t f/-.,.,
Heat 0 NC ~ Vent 0 Fuel/System~/-ecYt
Heat Loss l7"f '(5" r
BTU'S
fP.- ~~/j
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_WC
_Ur
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
_Sink
Other
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_Lav
_WH
_Sh
_BT
_ Eject
_SS
FEES: Valuation $ I L( M ~ ~ Permit Fee Paid $
ISSUED BY~; Date
Park Dedication $
Final/O.P. /a -/2 - Y V
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
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DATE / .
ADDRESS
TELEPHONE #