HomeMy WebLinkAbout0024500-HVAC~ CITY OF OSHKOSH N° 24500
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^
----------- HTG [~ ELEC ^
------------ PLBG ^
------ SIGN ^ ZONING
------------- FLOOD PLAIN HEIGHT
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ADDRESS ~_~ ~ ~ ~ ~ g-~(~ L ~ SS~ ~i, /' ~ ~ PLAN NO.
OWNER
USE/NATURE OF WORK ~y~G~ ~~w ~~Ud / V
BUILDING CONTRACTOR
Size
Foundation
HEATING CONTRACTOR ,/{~
Heat A/C [~7 Vent ^ Fuel/System ~K-~ Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH
Lav Sh
WC FDr
-Sink LTub
Other
Disp
DW
SP
Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ I~ 7 ~ • ~~ Permit Fee Paid $ ~ ~//`~~~~ Park Dedication $
ISSUED BY Date ,~L 9~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS ~~~ `~ ~ '
Sq. Ft.
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
s
DAB
TELEPHONE al'