HomeMy WebLinkAbout0047807-HVAC (furnace)~ ~~
/~ CITY OF OSHKOSH No ' 4~7~07
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG (~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~Q~ IT/`/ //` ~r ~~/ti PLAN NO.
OWNER r~~ Clf''cf S's~i~~
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR.. ~ N U G ~S /' ~ ~ ._
Heat ~ A/C ^ Vent ^ Fuel/System ~~ ~ ` Heat Loss f ~/ ~ ~ BTU'S ~~ d~
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR -
-BT -WH
- Lav
- WC
- Sink
Other
- Sh
- FDr
- LTub
- Disp
- DW
- SP
- Eject
- WSoft
- DF
- Ur
- SS
FEES: Valuation $ ~ ~ - ~~ Permit Fee Paid $ ~G • ~
Park Dedication $
ISSUED BY rl~ Date "T g,~ //
Final/O.P. ~' a ~- QI (~
In the performance of this work agree to perform all work pursuant to rules governing the described construction.
SIGNA~
AGENT/OWNER
ADDRESS
- CBasin
-San. Sewer_
-Storm Sewer
-Water
,~/~,,/9,~-
DATE
TELEPHONE ~