HomeMy WebLinkAbout0033948-HVAC (furnace)CITY OF OSHKOSH N° 33948
PERMIT - APPLICATION AND RECORD
a TYPE: BLDG ❑ HTG Se ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / Y ce Mz tom- PLAN NO.
OWNER %�` R' V CJ 1P1_1 1.1 !C'AlS'gPll
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
HEATING CONTRACTOR
Heat A/C ❑ Vent ❑ Fuel /System
# Rooms
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles.
PLUMBING CONTRACTOR
# Stories Height.
Class of Const. Occupancy Permit
Heat Loss ) i'Je`P� BTU'S
Volts
— BT
WH
Disp
WSoft
— Lav
— Sh
DW
_ DF
WC
_ FDr
SP
_ Ur
— Sink
_ LTub
Eject
_SS
Other
Amps
Circuits
— CBasin
— San. Sewer_
Storm Sewer
— Water
FEES: Valuation Permit Fee Paid $ y� Park Dedication $
ISSUED BY Date ,� /'�� Final /O.P.P
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
1015ATE
ADDRESS
TELEPHONE #