HomeMy WebLinkAbout1988-HVAC (a/c)_CITY OF OSHKOSH No 09556
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG [~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ l .~ ~/ ~C! ~'/ ~'CJd ~ ,~ ~ PLAN NO.
OWNER L~/i` //~~QI~Yi l~,P ~ r~ ~i
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR ~
Heat ^ A/C [~ Vent ^ Fuel/System
Heat Loss ,roc/ ~~_ BTU'S ~ ~ ~
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
FEES: Valuation $ ~ ~~- ~~ permit Fee Paid $ D~U~ Park Dedication $
ISSUED BY ~ Date Final/O. P. ~ - ~ - ~S
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER
DATE
TELEPHONE #