HomeMy WebLinkAbout0002295-HVAC~ CITY OF OSHKOSH No _02295
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS f ~/ .T-a G 1~ 5 O/~ PLAN NO.
OWNER ~ ` f`~'~ ~ I wd ~ !~ 9 ~~ f l~1 ~uG ~ v r N /' ~d ~Y) i~CK. ~ !~,
DESIGNER
USE/NATURE OF WORK ~ (,L~~~ J ~ ~ S ~Ql~ !na s-z~'"-"
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR t_° P~
~p Heat ~ A/C (~ Vent ~ Fuel/System Heat Loss BTU'S !~ ~(X~'1~/07~h
Lt, O ~ y
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 SP Ur -Storm Sewer
-Sink LTub Eject SS -Water
Other
FEES: Valuation $ ,~° ~-a`-~ Permit Fee Paid $ ~~ r~ Park Dedication $
ISSUED BY ~; Date Final/O.P. J -' ~C~_ ~~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~
AGENT/OWNER TE
ADDRESS ~ ~ o~ 3 ~C.r' S °! ~
TELEPHONE #