HomeMy WebLinkAbout0039584-HVAC/~ CITY OF OSHKOSH N° 39584
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ .1~~~4l2 ~(~~ PLAN NO.
OWNER_ ~ ~~" ~,f p >o G~ ~P h
DESIGNER
USE/NATURE OF WORK f ~~v~-~, ~~q~2 ~
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR I''
Heat ~ A/C ^ Vent ^ Fuel/System ~ Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles Circuits
Amps
PLUMBING CONTRACTOR
-BT - WH
- Lav - Sh
- WC - FDr
.-Sink - LTub
- WSoft
- DF
Ur
- SS
Other
- Disp
- DW
- SP
-Eject
- CBasin
-San. Sewer_
-Storm Sewer
-Water
`" ~~ Park Dedication $
~ Q Final/O.P. X
FEES: Valuation $ /' ~~ - ~~ Permit Fee Paid $~
ISSUED BY_ Date
In the pertormance of this work I agree to pertorm all
SIGNATURE Ti' '-
pursuant to rules governing the described construction.
ADDRESS
~~y 9
DATE
TELEPHONE #
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