HomeMy WebLinkAbout0013466-HVAC (a/c)
CITY OF OSHKOSH N~ 13466
PERM T -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ EL C ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~
I GU ~'~'~°~' PLAN NO.
OWNER ~ Z°
DESIGNER
USE/NATURE OF WORK ~- ~ ~'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATINr CONTRACTOR '`
/ C_
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,_ Heat ^ A/C ~ Vent ^ F ~el/System Heat Loss .~ ~ BTU'S ~ ~ ~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Cha ge ^ Temp ^ Type Volts Amps
Fixtures Switche 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
FEES: Valuation $ ~ - ~`~Permit Fee Paid $ ~ ~ Park Dedication $
ISSUED BY I Date l ~ Final/O. P. ~n ag -~9
In the pertormance of this work I a~ ree to perform all work pursuant to rules governing the described construction.
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SIGNATURE T ~~
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ADDRESS GENT/OWNER DAT
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TELEPHONE #
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