HomeMy WebLinkAbout1990-HVAC (furnace)/`'~ CITY OF OSHKOSH N4 21895
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ^ HTG (~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS (Z ~ C
OWNER
DESIGNER
USE/NATURE OF WORK
PLAN NO.
fi
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms # Stories
Class of Const.
Height
Occupancy Permit
HEATING CONTRACTOR_~~_~`~G ~i,~j --``fL~
Heat ~ A/C ^ Vent ^ Fuel/System ~ llC~ ~ Heat Loss f "~ S°/ s ~_ gTU'S 0
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
PLUMBING CONTRACTOR
-BT -WH
- Lav - Sh
- WC - FDr
-Sink - LTub
Other
- Disp
-DW
.- SP
-Eject
Volts Amps
- Circuits
- WSoft
- DF
- Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer.
-Water
FEES: Valuation $~ Permit Fee Paid $_ ~~ . ~'~
Park Dedication $
ISSUED BY Date ~~ ~~ ~l~
l Final/O.P. ~= ~/ ~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
_ /J
SIGNATURE
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ADDRESS 0~~ ~ ~ ~~
~Q_
DAT
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TELEPHONE #