HomeMy WebLinkAbout0040683-HVAC
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N~ 40683
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
~.,,~ 5'1 kp~ Iler f<d
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La h&/ rn a r Ie. J.. Y fbrln e n;~ .'0
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PLAN NO.
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OWNER
DESIGNER
USE/NATURE OF WORK
H-- ~, 14-,~ 6 ~
New
k-l'-tQ/1 A1cf9'
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR Ce n t-,"4! U-f-r ~ 5' e yt c/ /c.p
l Heat ~ AiC~ Vent 0 Fuel/System-bra, Heat Loss ~ Hp,rJ
BTU'S ).~. Pt;n7 9-
j# 'h A J}-Ie
I
ELECTRIC CONTRACTOR
"
Electric Servo New 0 Change 0 Temp 0
Type
Volts
Amps_
_Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_ San. Sewer
_ Storm Sewer
_Lav
_WC
_Ur
_Sink
Other
_ Eject
_SS
_ Water
FEES: valuation.A ~p, - ~
ISSUED BY
/'
Permit Fee Paid $ /10; ro ;'
Date 7/~ t-/9'/
,
Park Dedication $
Final/O.P. ',--6'( o-qy
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
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o
7/;;/:t7~
l)i.' ,,5 ~ D I
TELEPHONE #
APPT. DATE 7/ fJ.. I ! ~'/ PERMIT <<0. tf &'Utp .3
ADDRESS 11, 6'(; '5# kC{eli~r Ild
OWNER /0 I/CI nuJl' i UIA",,~ fd Po JA rh ~r (i~.~-f
NATURE ~r \mRK t-i-V',14- C~ f270/~ l I1ldr ~'--i'f{a; ~
HEATING CONTRACTOR Cr3 ,<!/l'Y'al b./.::Iy "'56' ro p'/: ~
FUEL: .c5fi) OIL ~ SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE.
SYSTEM RADIANT SUPPL. C
U >.,Ij,
STEAM
CHIMNEY: "A" "8"
CALCULATED HEAT LOSS Jk;- ~
MISC.
INSP. ROUGH IN
EST. COST I ~ &f U1I '" &rt?
REMARKS f Ct YJ! Itpp