HomeMy WebLinkAbout0036982-HVAC (furnace)~~
O CITY OF OSHKOSH N°_ 36982
~' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG [~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ y70 t yg ~,lb~`J P~aG,e; PLAN NO.
OWNER ~~~!'I I~~J~7G~s/ ~/h
DESIGNER
USE/NATURE OF WORK
!mot ~ c
# Stories Height
Class of Const. Occupancy Permit
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms
Foundation
Q~ HEATING CONTRACTOR ~Q5/~ZIiSS-BN S T_~/~/G .~/LG
~J Heat ~j A/C ^ Vent ^' Fuel/System ~~ ~ Heat Loss _ ~~r f5T BTU'S ~~i`~/.~
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
- DW
SP
-Eject
- WSoft _ CBasin
- DF _ San. Sewer_
- Ur _ Storm Sewer
- SS _ Water
FEES: Valuation $ ~7U~~ ~ Permit Fee Paid $_~~ ~~~ Park Dedication $
ISSUED BY ~' Date _~` ~ ~'~~~
Final/O. P. ~" a0` '' //
~"T
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS ~~
!l 4 ~
DATE
TELEPHONE #