HomeMy WebLinkAbout0021600-HVAC (furnace & a/c)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
21600
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
8G~ Ikrme /
H/kB 5/ech
PLAN NO.
ADDRESS
DESIGNER
USElNATURE OF WORK~ lac e
h/rnoc~
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oy- /kid fr/c
s: F ~,
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
,EATING CONTRACTOR . li-C-.Ii ~
C Heat ~ AlC ~. Vent D Fuel/System
N~4
j;;- , r-
Heat Loss y: f ~
BTU'S kq~
9. fp Yl IJ-f c.-
v
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtuies
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
FEESe Valuallon $ ~ 0'0
ISSUED BY -
I
t? 0' c../-t!J ",'
Permit Fee Paid $ If) .
Date 1//11 /?tJ
Park Dedication $
Final/O.P. t l1tf l q}
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE--Lx~~~
AGENT/OWNER
lfi $/92'
ATE
ADDRESS
68"11. SUN ~ ~\\\)~E:c.o\.)\\)e ~,
582.. 4'4 oz..
TELEPHONE #
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CONDITIONING
S~STc.M
CHIMNEY' "A" ,,~" )dlIBEC1 'JEll'! CO~. BeRNER
CALCULATIOn \lEA1 LOS S yy' '.; r _SYSTIOM B11l RAn~G ~1 (X.rO
MISC.
INS? . ROUCH IN nNAL
ES1. COS1.5 '1 ~ .c;rr;i _?ERt-lIt fEES ?.
REMAR--1ZS
ELEC. B~SC.. STEP01
~/c VENT
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