HomeMy WebLinkAbout0043813-HVAC (furnace)CITY OF OSHKOSH N° 43813
PERMIT - APPLICATION AND R ECOR D
TYPE: BLDG ❑ HTG 1P ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS— 9��,GZZtr kraoJ z't: PLAN NO.
OWNER �fJ j ,V e r N y
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories Height.
Class of Const. Occupancy Permit
HEATING CONTRACTOR n&1 M vii 5 e0 S 15F --hy
el Heat (P A/C ❑ Vent ❑ Fuel /System Al. Heat Loss l�f `S !' BTU'S t
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
— BT _ WH _ Disp _ WSoft — CBasin
_ Lav _ Sh _ DW _ DF —San. Sewer
WC — FDr —SP _ Ur —Storm Sewer
— Sink _ LTub _ Eject _SS _ Water
Other
FEES: Valuation $ • CAV Permit Fee Paid $ 10' Park Dedication $
ISSUED BY Date 46 , `._ Final/O.P. - l ^ 9111
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURES
1 ENT /OWNER DATE
ADDRESS
TELEPHONE #