HomeMy WebLinkAbout0015796-HVAC (furnace & a/c)/, CITY OF OSHKOSH N°_ .15796
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS -J ~~~ ~i- ~',l1~ l ~ ~ ,~ PLAN NO.
OWNER , l ~~j t~ C~/`~°jC/ ~ /
DESIGNER / c
USE/NATURE OF WORK L~r~~"~22c e ~~~~ ~G-- ~ ~ ~~
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR C G' C ~/ 4 /~'t°--
Heat ~ A/C ~ Vent ^ Fuel/System /~~- Cam` Heat Loss ~ ~ ~ v T BTU'S C~ G~~
(C.~~ 9` /
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches 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 $ ~~~ Lf ~ Park Dedication $
~~ C- c q
ISSUED BY `-?~'~' ~-~ Date ~ ~ Final/O.P. °~~ ~- / d
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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TELEPHONE #