HomeMy WebLinkAbout1992-HVAC (furnace)/~ CITY OF OSHKOSH N°_ 30952
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ /J ~ ~Ar ~`cva A // /'~~ PLAN NO.
OWNER_ C-R/~'O/ IA~i c/'//Q~S
DESIGNER
USE/NATURE OF WORK ~'~~"`' QL c° ~~ rice
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~/~ S ~_~/'~.~
Heat ^ A/C ^ Vent ^ Fuel/System ~ C Heat Loss ~~ ~~~ BTU'S ~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT
Lav
- WC
-Sink
Other
- WH
Sh
- FDr
LTub
- Disp
- DW
- SP
- Eject
- WSoft - CBasin
- DF
Ur
- SS
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ ~/U~" - U~ Permit Fee Paid $ ~G ~ ~/~ Park Dedication $
ISSUED BY Date ~/,~~~ Final/O.P. /~ /D~Q~? .
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
AGENT/OWNER
ADDRESS ~a ?"'~ J
D TE
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TELEPHONE #