HomeMy WebLinkAbout0037429-HVAC (furnace) 52
CITY OF OSHKOSH
No 37429
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 5 gra ?S19 PLAN NO.
OWNER 4 ,e_ 120 y
DESIGNER
USE /NATURE OF WORKK Q C �vfK r
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR are 7)174`1 ii-tf
i
Heat Fi A/C Vent Fuel /System Heat Loss J j BTU'S 16119 LlGlP
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 JAC/11 4 Permit Fee Paid 7
ai Park Dedication
ISSUED BY �Z Date /0 �y Final /O.P. a/ 7/ ?I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE OZ9A 6 fr4
AGENT/ ER
DATE
ADDRESS
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