HomeMy WebLinkAbout0019359-HVAC (furnace & a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
19359
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
OWNER-----PO YJ
9' tp (; #at" /1 e V
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PLAN NO.
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DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR t1-~f I'/. A-/YJ
t Heat ~ NC)'! Vent D Fuel/System ill C....
Heat Loss HI 15, T
BTU'S t cY ~
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cx- ~ 7'd YJ
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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 _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ ~. VC
ISSUED BY . 2P~
Permit Fee Paid $
Date
.ijJ: ~,/'
'7////967
/ / r
Park Dedication $
Final/O.P. If - ;;21./- 9~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~JJ~ cf} tVk.J
AGENT/OWNER
ADDRESS ?t7? ~//l"~/~T ~/C
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582.-7 '7 ~7J
TELEPHONE #
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APPL DATE 7 / It/~ tJ pEBMIT~O .~ f l' ,,,9
r , 11 ' .
ADDRESS_frtt .~~r'Q.,e:7 ;/.~/.#..'
OW.iR J2u /l frq J1C'.U/ <; k/
NATUttE OF WORK ~2~~ e.~):'f(P1~U i- ~dc:llf-/c-
HEATING CONTRACTOR H ....C.r/. . JJ.. / ,..
FUEL: ~ OIL ~ SOLAR SOLID
CONDITIONING
SYSTEM
FORCED AIR
RADIANT
R.W.
SUPPL.
ELEC. BASE. STEAM
C N
CRIMNEY: "A" 'B" Y- DtRECT VENT
CALCULATED REAT LOSS ~'f/5" I
MISC.
INSP. ROUGH IN
EST. COST
REMARKS
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