HomeMy WebLinkAbout0042424-HVAC (furnace) CITY OF OSHKOSH N°- 42424
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG j' ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 5Q/ 410x9 PLAN NO.
OWNER MC> 7 `tm da s"
DESIGNER
USE/NATURE OF WORK t QCe O re ha.__
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR PC -i L?2[J SJ e K S 14- 9- !lic-
e Heat V A/C Vent Fuel /System At-C. Heat Loss .P,er`S t BTU'S g�
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 C Permit Fee Paid ,2 57 °‘-e7 Park Dedication
ISSUED BY Date A 4 y Final /O.P. //V 91
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C-N arn/Qg
AGENT /OWNER ,Q DATE
ADDRESS 5 I
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