HomeMy WebLinkAbout0010704-HVAC (furnace & a/c) CITY OF OSHKOSH N2 10704
PERMIT APPLICATION AND RECORD
TYPE: BLDG El HTG tiP ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 2 3a ,"`2 6 D in PLAN NO.
OWNER 5 7€ p) e n Y' `l V
DESIGNER
USE /NATURE OF WORK w L G if
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 1 .0 4 5' 'Ater/
C Heat NC V Fuel /S stem ,1 Heat Loss 6 BTU'S t0 1.--
2 ,?="h i/c.
ELECTRIC CONTRACTOR 5 41e c f
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 56'.5 c" Permit Fee Paid l 9- C 9 Park Dedication
ISSUED BY e-- Date /d ,/3/fct Final /O.P. "t" J
In the performance of this work 1 .ree to orm all work pursuant to rules governing the described construction.
//3
SIGNATURE arialillailW Al /57:"?
AGENT /OWNER DA
ADDRESS
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