HomeMy WebLinkAbout0012792-HVAC (furnace & a/c)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
12792
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NA TU RE OF WORK --i2 f.. ~ I Cl C e. FC/ v';Z 1!"1 C: 7"~
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR W..e';f ley ~
Heal ~ Ale I'jlII Vent 0 FUeVSYSlemN "v,
Heat Loss C -1--,'<; T
BTU'S .tt:7 V"7;?-c:J
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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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ Y $~, CI'-(:J Permit Fee Paid $
ISSUED BY ~. e -- Date
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Park Dedication $
Final/O.P. w;:/? /'
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
#i:/J> 9
DATE .
ADDRESS
TELEPHONE #
PERMIT NO. I J- 79 J- APPL. DATE Vft/l':7
ADDRESS_ ~JO I#r/71-r2IJJt/~
OWNER j/a'I'?'/d fPorF5'e
NATURE OF WORK
HEATING CONTRACTOR
FUEL: r!!f?J OIL
C.oNDITIONING ~RCED Al R H . " . ELEC ~ BASE STEAM _:
SYSTEM C:RAVITY SUPPLEMENTARY ~IR CONDo
CHIMNEY: ,liB". I RECT VENT CON. BURNER
CALCuLATED HEAT LosiE'!., ',; f SYSTEM BTU RATtNG'?""
MISC.
INSP. ROUGH IN FINAL
EST. COST~&"'Ot1.. c/Q PERMIT FEES 9;. t/'1:7 A
REMARKS