HomeMy WebLinkAbout0026022-HVAC (furnace)_CITY OF OSHKOSH N°_ 26022
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~7~~ ~, ~ rs ~~~~ r~,~~C'!" e PLAN NO.
OWNER n.. ~ ~j o rn d~0
USE/NATURE OF WORK ~~ lQ f ao
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
. Heat ~ A/C ^ Vent ^ Fuel/System
Heat Loss !~}°/ rST BTU'S y~ ~/`fl
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
-BT -WH
Lav _ Sh
- WC FDr
-Sink _ LTub
Other
WSoft
- DF
Ur
SS
FEES: Valuation $ • ~~ Permit Fee Paid $ ~9 ~O Park Dedication $
ISSUED BY Date ~ q Final/O.P. // - a / - ~ /
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
- Disp
DW
- SP
-Eject
AGENT/OWNER
~o~ y
DAT
- CBasin
-San. Sewer_
-Storm Sewer.
Water
TELEPHONE #