HomeMy WebLinkAbout1992-HVAC (a/c)/'~ CITY OF OSHKOSH N° 29407
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~I J ,~ ~~ f' ~ LU/7L~ ~ /'1 ~ PLAN NO.
_ _
OWNER
DESIGNER
USE/NATURE OF WORK ~ ~C S ~KBS
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ~ i°
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss ~ X i ~s~ BTU'S ~ ~h ~ -
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
- Disp
- DW
- SP
-Eject
- WSoft
- DF
- Ur
- SS
- CBasin
.- San. Sewer_
-. Storm Sewer
-Water
n ~, ~
FEES: Valuation $ r~-~'r~~~ ~~ Permit Fee Paid $ ~/~- ~ Park Dedication $
ISSUED BY_ Date~~,~2 Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AlitN I /V WNtH
~~
DATE
TELEPHONE ~