HomeMy WebLinkAbout0047998-HVAC (furnace)~~
CITY OF OSHKOSH N°- 47998
PERMIT
APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~7 / C~ ~y ~-C y! ti
• PLAN NO.
OWNER ~ 0`OGUl2 ti!^
DESIGNER
USE/NATURE OF WORK ~~.~-~~: ~V~C!/ 1~~,a
BUILDING CONTRACTOR
Size
Sq. Ft
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
Foundation
HEATING CONTRACTOR___ ~~~°/t~/ ~i/tuh.~.~~
Heat ~ A/C ^ Vent ^ Fuel/System /~ ~• Heat Loss BTU'S 1 ~''~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles Circuits
Amps
PLUMBING CONTRACTOR
_ BT _ WH _ Disp - WSoft
_Lav -Sh -DW -DF
- WC _ FDr _ SP _ Ur
-Sink _ LTub _ Eject _ SS
Other
- CBasin
-San. Sewer
-Storm Sewer
-Water
FEES: Valuation $ ~~ • CEO Permit Fee Paid $ ~~ d~ Park Dedication $
ISSUED BY _ ~"`~ Date ~%' ?~~.~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~ ~~ y q,,r-
AGENT/OWNER DA
ADDRESS
TELEPHONE ~