HomeMy WebLinkAbout0019881-HVAC (furnace & a/c)_CITY OF OSHKOSH N° 19881
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~!'- (J`O S ~// ~t PLAN NO.
OWNER ~O~ ~~ai,ililll~7?S
DESIGN
USE/NATURE OF WORK ~ !~' ~C/J^s~ ~* ~ ,o ~`/1~11~/~~ 7
BUILDING CONTRACTOR
Size
Sq. Ft
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
Foundation
HEATING CONTRACTOR
~ i ,~'''
Heat; A/C~ Vent ^ Fuel/System ~~ ~ Heat Loss ~~ ,1~crr'•T BTU'S ~ ~``~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT _ WH Disp WSoft CBasin
Lav _ Sh DW DF -San. Sewer
WC FDr SP Ur _ Storm Sewer
-Sink LTub Eject SS -Water
Other
FEES: Valuation $ ~1~~/`'~ermit Fee Paid $ ~f ~` ~~ Park Dedication $
ISSUED BY ~'T~' Date lv Final/O.P. C - °~~ '~ 9D
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ~ f G ! ~
AGENT/OWNER DATE
ADDRESS
TELEPHONE #