HomeMy WebLinkAbout0027833-HVAC/`'~ CITY OF OSHKOSH N° 27833
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG [~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
----------------------------~----------------------------------------
ADDRESS ~~ ~~ /L it r kGUBpo[' PLAN NO.
OWNER
DES
USE/NATURE OF WORK ~~ ~~> ~e [.(/ (~/41 ~-
BUILDING CONTRACTOR
Sizd Sq. Ft. # Rooms # Stories Heioht
Foundation
HEATING CON'
Class of Const. Occupancy Permit
Heat ~7 A/C ^ Vent ^ Fuel/System ~ 6 Heat Loss ,~ BTU'S 7
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUM3ING CONTRACTOR
BT WH _ Disp WSoft
- Lav Sh DW DF
WC _ FDr SP Ur
-Sink _ LTub -Eject SS
Other
CBasin
-San. Sewer
-Storm Sewer
Water.
FEES: Valuation $ O~~G~< <~ Permit Fee Paid $ r!l/ ~ ~~ Park Dedication $
ISSUED BY ~~ Date ~~ ~~Qy Final/O.P. ~ `- f S •- 9
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
~'Z~ ~f
~7 9Z
TELEPHONE #