HomeMy WebLinkAbout0013435-HVAC (furnace)CITY OF OSHKOSH No 13435
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~' ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ,~~ ~ ~~' ~ ~/!'' ' ~-(s ~i PLAN NO.
OWNER /' L>?' ~ r r" ~ ! iQ l~ K i ~l°J r~° ~''I
DES
USE/NATURE OF WORK ~t-~~2CP~ ~r/~^~~'G~ ~di~~ ,~J L~ 4S/
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
y Heat ~j~ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
BT _ WH
Lav _ Sh
WC FDr
- Sink _ LTub
Other
Heat Loss ~~~'S' ~ BTU'S
FEES: Valuation $ p _~~ t ~ Permit Fee Paid $ _~,,z ~ Cry Park Dedication $
ISSUED BY _ ," Date ~ ~ ~ ~~ 3 ~~
Fi
l
na
/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR
ADDRESS
- Disp
- DW
SP
-Eject
AGENT/OWNER
WSoft
DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
DATE
TELEPHONE #E