HomeMy WebLinkAbout0003945-HVAC (a/c)~ CITY OF OSHKOSH No _ 03945
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~-1 ~ J ` ~ ~~ ~ PLAN NO.
OWNER
USE/NATURE OF WORK
~~
BUILDING CONTRACTOR
Size
Foundation
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~_,~T~
Heat ^ A/C`~ Vent ^ Fuel/System
Heat Loss ~ ~~ BTU'S ~ ~C!-~,~~
ELECTRIC CONTRACTOR - ~ f ~~ ~rf Q
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
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 $ ~- °~~ Permit Fee Paid $ ~.S G`~ Park Dedicati n $
ISSUED BY - Date Final/O.P. ~ 9 07
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~~~'~"~ `~!~~
AGENT/OWNER DATE
ADDRESS ~-~-3~ ' yY . /3E~T~f'.F~~
Sq. Ft
# Rooms
TELEPHONE #