HomeMy WebLinkAbout0043098-HVAC (furnace)tJ~O'~
H No 43098
CITY OF OSHKOS
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS " /Q~ ~ ~a ~ 5 ~ ~ ~/Q C t'- PLAN NO.
DESI
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
# Rooms # Stories
Class of Const.
Height .
Occupancy Permit
HEATING
Heat ~ A/C ^ Vent ^ FueVSystem ~~'
Heat Loss ~~~ ~/i~ BTU'S <~~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
_ BT _ WH _ Disp - WSoft
_Lav -Sh -DW -DF
- WC _ FDr _ SP _ Ur
- Sink _ LTub -Eject ~ SS
Other
- Ceasin
-San. Sewer
-Storm Sewer
-Water
d
FEES: Valuation $ ~ ~~ ~ ~'~ Permit Fee Paid $ ~ ~` Park Dedication $
ISSUED BY Date ~L1~1 q Q _ Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE a ~/.i~ ~~sr~-/ ~~ ~ 9y~
AGENT/OWNER pgTE
Sq. Ft.
ADDRESS /-s''3 s- W - ~~.v'T ~y~ r?3i - 73~i'7
TELEPHONE ~