HomeMy WebLinkAbout0042524-HVAC (furnace)3-5,
CITY OF OSHKOSH N2-42524
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG )F ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / l PLAN NO.
OWNER T/ k7i 5��9
DESIGNER
USE /NATURE OF WORK C:- / VY/Zri G
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR C.9,0,L a l-ac!
Heat A/C ❑ Vent ❑ Fuel /System 041,6", Heat Loss �``Si BTU'S �Ve-o
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
i
�t
FEES: Valuation $ /` • C-W
ISSUED BY C -�
Permit Fee Paid $ oi�$ /
DateTIL,/
Park Dedication $ Q
Final /O.P. /Q
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
&_W5(
DATE
TELEPHONE M