HomeMy WebLinkAbout0021303-HVAC (furnace & a/c)CITY OF OSHKOSH N4 21303
n PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS~T
OWNER ~~
PLAN NO
DES
USE,
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~G ~~~C`'_`~~a to~-
Heat ~ A/C ~ Vent ^ Fuel/System ~ Heat Loss L= f-l~ S ~ BTU'S ~ ~~
1 ~,
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 $ ~' Permit Fee Paid $ ~~° O`er 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.
SIGNATURE
ADDRESS
/O ~ D
D E
TELEPHONE #