HomeMy WebLinkAbout0039583-HVAC~~~
/~ CITY OF OSHKOSH N-° 39583
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS h~ .TO/j ~Z~50 /'7~7,~ PLAN NO.
OWNER- /ta/',/ /) L'~Ka~f"
DESIGNER
USE/NATURE OF WORK ~"y~-~ ~/V~ ~ ~ ~
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Stories Height
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~~/'~ t~Lt/ ~ `` ~Pf--~
Heat A/C ^ Vent ^ Fuel/System ~-6 Heat Loss BTU'S ~'~~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles Circuits
Amps
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 $ ~ 3~ L~ Permit Fee Paid $ ~ ~. ~J`~ Park Dedication
ISSUED BY Date Q Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
DA E
# Rooms
TELEPHONE #
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