HomeMy WebLinkAbout0014436-HVAC (a/c)_CITY OF OSHKOSH N° 14436
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
~ ~- .--- ~ i l ,
ADDRESS
PLAN NO.
OWNER ) ~~ L'` Lam-- ~O~' l~ Pte'
DES
USE/NATURE OF WORK
~- ~ ~
BUILDING CONTRACTOR
Size
Foundation
# Rooms # Stories
Class of Const.
Height .
Occupancy Permit
HEATING CONTRACTOR ~
Heat ^ A/C ~ Vent ^ Fuel/System Cs. Heat Loss ,,~~~$' ~ BTU'S T ~~~
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 SR Ur Storm Sewer
-Sink LTub Eject SS Water
Other
FEFS: Valuation $ Permit Fee Paid $ o ~ Park Dedication $
ISSUED BY Date ~ Final/O.P. 9-~n~~9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~'
AGENT/OWNER ATE
ADDRESS ~~~~ ~ ~ ~,~~ = 7~ lp 3
TELEPHONE #
Sq. Ft