HomeMy WebLinkAbout0010318-HVAC (furnace &a/c)CITY OF OSHKOSH No 10318
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS ~~ 1~ ~ ~ ~ ~ = ~~ ~ - PLAN NO.
OWNER ~~ c
DESIGNER
USE/NATURE OF WORK C . G>! Y C~ ~'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 'Occupancy Permit
HEATING CONTRACTOR ~~ ~ S' ems; ~~/L
Heat I~ A/C ~ Vent ^ Fuel/System ~ v_ Heat Loss ~~~~ S~ BTU'S ~
T ~- 7yh /~' ~
ELECTRIC CONTRACTOR
electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH
Lav - Sh
WC FDr
-Sink LTub
Other
Disp
_ DW
SP
Eject
WSoft
DF
Ur
SS
_ CBasin
-San. Sewer_
-Storm Sewer
- Water
FEES: Valuation $ ~~~~pQ' ~~ Permit Fee Paid $ ~0 ~~ ~ Park Dedication $
ISSUED BY ~L__.~ Date __~ ~ Final/O.P. R- ~~ ' ~~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
9. J 3 ~'~'
DATE
ADDRESS
TELEPHONE ~