HomeMy WebLinkAbout0004710-HVAC (a/c)_CITY OF OSHKOSH N° 04710
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG T ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,~~ ~~ ~, [~ /C~,~Q ~~ SY ~ PLAN NO.
OWNER / 7.~C ~I ~ / ~ ~ 5~5~' /~'
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 /Z BTU'S ~~ /~~G
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLURABING CONTRACTOR
BT WH
Lav Sh
WC FDr
-Sink LTub
Other
Disp
DW
SP
-Eject
- WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ ~ ~ Permit Fee Paid $ Park Dedicatgion $
ISSUED BY - Date Final/O.P. / -°2 'S ~7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~~/G~
AGENT/OWNER DAT
ADDRESS
TELEPHONE #