HomeMy WebLinkAbout0040087-HVAC (a/c)~/
/~ CITY OF OSHKOSH N°- 40087
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS ~~~ ~~,/l?Sd`/ ~7/
/~ JJ PLAN NO.
OWNER ~6~~~1°_ ~r/CCl~
DESIGNER
USE/NATURE OF WORK /°'~/ ~L C~ ~~
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms
Class of Const,
# Stories
Height .
Occupancy Permit
HEATING CONTRACTOR Tl° ~ T~i SV ~ ~ JT.~.~'i O ~'J
Heat ^ A/C '~ Vent ^ Fuel/System ~° ~- Heat Loss ~ ~~ ~5 ~ BTU'S
Tc
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
-BT - WH
- Lav - Sh
- WC - FDr
- Sink - LTub
Other
- Disp - WSoft
- DW - DF
- SP - Ur
-Eject - SS
- CBasin
-San. Sewer_
-Storm Sewer
- Water
FEES: Valuation $ ~/~ 7~~ ~ Permit Fee Paid $ ~~- ~~ '~ Park Dedication $
ISSUED BY '~~~ Date ~i~~~~~1 y Final/O.P. 9'l~ '9
In the pertormance of this wo I agree to pertorm II work pursuant to rules governing the described construction.
SIGNATURE --Pil of''~lh.J' ~j ~ ~ ^ ~~
AGENT/OWN DATE
ADDRESS
TELEPHONE M
H
w
a
~-
V
A
a
d
0
0
N
a
a
0
en
V ~ ~
V w 1{~
w I .s
a o
' d
~? d a
3 2
vi
Ls. V ~'
0
~ ~
a
.~ 3Z
3
2 a
S :~~
t+.
a~
m
- t~
o~
V
m
F
>r
a
c~
J~
~a L,~
C
~~
x
Q
w~
~~ ~
J V ~
~a
e
Q
i
..a
is m
~ w
c.. ~.
F
rr
a
a
z
a E.
~ a
a
~ ~