HomeMy WebLinkAbout0046160-HVAC (a/c)~/
~ CITY OF OSHKOSH N°- ~+~~-60
`' PERIUIIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG [~ ELEC ^ PLBG ^ SIGN [] ZONING FLOOD PLAIN HEIGHT
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ADDRESS /%~/~~` Tc>I7 i%I ~ fp'~j PLAN NO.
OWNER /"l/ Y~r?"~ Lc 6~~~~~~
USE/NATURE OF WORK-~~i~~ ~~G-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (jJ~1r' r11C~'i'~
Heat ^ A/C [~; Vent ^ Fuel/System C~c'
Heat Loss ~ ~ l~5~`" BTU'S ~ ~`'I l~-~G-
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH _ Disp _ WSoft
Lav Sh -DW -DF
WC FDr _ Sp _ Ur
Sink LTub Eject SS
Other
- CBasin
-San. Sewer
Storm Sewer
-Water.
FEES: Valuation $ ~ ~ J~ - ~''~' ~7 .f
~~ pp'' Permit Fee Paid $ /. 9~ Park Dedication $
ISSUED BY~i~~ Date ~~ Final/O. P. '~. >~ ~ 7 ~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
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