HomeMy WebLinkAbout0028882-HVAC (a/c)_CITY OF OSHKOSH N° 28882
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG "~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
PLAN NO
OWNER Lei •II~! ~ S~J / ~
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR Q' ~' p hO f!G I ~
Heat ^ A/C [~ Vent ^ Fuel/System ~7~ ~~ Heat Loss l~~ `S :T BTU'S ~ TO ~ 7
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT _WH
Lav Sh
WC _ FDr
-Sink LTub
Other
Disp
DW
SP
Eject
Volts Amps
Circuits
- WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ 3 5 ~• v'~ Permit Fee Paid $ y~_ ~ Park Dedication $
ISSUED BY Date ,~~~~~- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNA'
t~ L/ AGENT/OWNER
ADDRESS ~ ~(~~ ~~G /7~ 6~~/Q Gti . OS~f~o5~i`
DAT
TELEPHONE #