HomeMy WebLinkAbout0041141-HVAC (furnace & a/c)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
~'Z-
N!-41141
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
Io//ace hrrnRce
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const
Height
Occupancy Permit
Foundation
~
HEATING CONTRACTOR {iO'7 mV"'J7eMt5
~ Heat ~ AlC 119 Vent 0 Fuel/System IJ - b~
~ 9'- 11-/ C-
'-
Heat Loss t: Y; 1"7 r
BTU'S / t?J; ~
0/ ~ b ~ Pz /i-/c-
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
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 $ t- ~ b 5: cr-tJ
ISSUED BY ~
Park Dedication $
Final/O.P. q.{ .crt
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUREC\f\J\~ Q~~ 3j/?!~
: ~ ~ AGENT/OWNER DA E
ADDRESS i """ ,.,::; ~~ ~ ~? :> - (, ~'\
TELEPHONE #