HomeMy WebLinkAbout0048108-HVAC (furnace)//-~~
~ CITY OF OSHKOSH N°- 48108
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~I _1~.~~r ~u/~®q` PLAN NO.
OWNER _ ~d ~ h l~r~rr a r2 1
DESIGNER
USE/NATURE OF WORK ~ /l3 - ~ 1`'!Jf"l~I4` {'
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~ ,/~
Heat ~ A/C ^ Vent ^ Fuel/System /~ Heat Loss~~~~'Sd BTU'S ~ ~~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT
Lav
- WC
-Sink
Other
- WH
Sh
- FDr
LTub
- Disp
- DW
- SP
-Eject
WSoft
DF
- Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $~~ ~- C~ Permit Fee Paid $ ~~ - ~~ Park Dedication $
ISSUED BY Date l~~~ Final/O.P. ~~ ~ ~ G
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
4
DATE
TELEPHONE N