HomeMy WebLinkAbout0031538-HVAC (furnace)/~ CITY OF OSHKOSH N°_ 31538
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^
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------ ELEC ^ PLBG ^ SIGN ^ ZONING
------------------------- FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~ ~_l~S, / ~% h ~/~L L° PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
h
~,
BUILDING CONTRACTOR
Size
Foundation
# Stories Height _
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~~ ;l /I'1 S~T• S/~? "i ~y~0 f j ~r-
Heat '6~ A/C ^ Vent ^ Fuel/System ~~ C9. Heat Loss ~'~y`S V BTU'S
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 $ ~T ~!/~ ~ ~fl Permit Fee Paid $ ~'~ ~`~ Park Dedication $
ISSUED BY ` Date ~~/3~p
~-,,~_ Final/O. P. ~~~ya.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~'` ~ G~%'~ •---G~~ ~~'
AGE WNER ATE
ADDRESS
TELEPHONE #
Sq. Ft
# Rooms