HomeMy WebLinkAbout0023615-HVAC (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
23615
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
lWei
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9P
BUILDING CONTRACTOR
Size
. Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const..
f!l HEATING CONTRACTOR ~~., ley L~';J-
L Heat D AlC ~ Vent D Fuel/System /:='-;~ C- -
Heat Loss. r YJ /5 J
BTU'S
J ~ "hr~
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
Other
FEES: Valuation $ f ~p.{P ~ P&
ISSUED BY ~
Permit Fee Paid $
Date
j.~c.-~
't/~/e;/
Park Dedication $
Final/O.P. (017/ r /
, ,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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/ It DATE
ADDRESS
TELEPHONE #