HomeMy WebLinkAbout0042560-HVAC5`~~
/~ CITY OF OSHKOSH N~ 42560
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS. ~ O ~~ ~d /~'I /~1l~/'t$"~ ~ ~,~J Q ~, PLAN NO.
OWNER. (l 5 Gf~ C_p1~5~
DESIGNER
USE/NATURE OF WORK ~-~ ~L{~L~f~~l~I B
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height .
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR J 1'' ~'
Heat "~I A/C ^ Vent ^ Fuel/System ~ Heat Loss BTU'S ~~`~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING 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 $C"IC~ ~ c~ Permit Fee Paid $ ~ ~~ Park Dedication $
ISSUED BY ~ Date ~ Final/O.P. 9~~~s
In the performance of
SIGNATURE
ADDRESS
work I agree to,perform all work pursuant to rules governing the described construction.
AGENT/OWNER
DATE
TELEPHONE ~