HomeMy WebLinkAbout0016948-HVAC (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16948
TYPE:
BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
M4
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
'/I Stories
Height
Occupancy Permit
Foundation
Class of Const.
I
HEATING CONTRACTOR
t Heat D NC fjPvent D Fuel/System
h
Heat Loss,
r.pff~ .J
BTU'S
1J-~1-J
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
~Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ J ~,~ Permit Fee Paid $
ISSUED BY ~~ - Date
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/7._A ,//
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Park Dedication $
/-11-9'Q,
Final/O.P. __
In the performance of this work I agree to Fform all work pursuant to rules governing the described construction.
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SIGNATURE
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AGENT/OWNER
ADDRESS
TELEPHONE #