HomeMy WebLinkAbout0017084-HVAC CITY OF OSHKOSH N9 17084
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 04 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS o /07 C,'v 1/na/ f e° PLAN NO.
OWNER 1 p f'J I. tf. L L h i:4 SS
DESIGNER
USE /NATURE OF WORK ki elek /12-, i.°U/ /4'ni t ile/h Di 6 79V
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
1
HEATING CONTRACTOR itlGI f" yi 1 'J
Heat V A/C Vent Fuel /System /17:(31- Heat Loss 15 40/ BTU'S 7 G 4
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
D O(9hj-(- t-a--
FEES: Valuation kel Permit Fee Paid 7 C el—e) Park Dedication
ISSUED BY Date I Final /O.P. l _a 1 9O
In the performice of •'s work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE V 40) 4v //01://7
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AGENT /OWNER
ADDRESS
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