HomeMy WebLinkAbout0008596-HVAC (a/c)CITY OF OSHKOSH No 08596
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ 7 ~ / rz ~'q /~S~` PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
~,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /~
Heat ^ A/C ~ Vent ^ Fuel/System Heat Loss ~ ~ ~S ~ BTU'S TO
x ~- ~~~
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 $ f~ ~Q Permit Fee Paid $ ~y ~/~ Park Dedication $
ISSUED BY_____ 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
AGENT/OWNER
DATE
TELEPHONE #