HomeMy WebLinkAbout0017085-HVAC CITY OF OSHKOSH N2 17085
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1/1 l/ Y l/ 7 �'in n trf''d G P' PLAN NO.
OWNER e CI 7 C(/5
DESIGNER
USE /NATURE OF WORK 1fl A `eu. 1. 7V
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 1 f ai" 'f° 64 S AL-
Heat [A A/C El Vent El
Fuel /System A! Heat Loss3, BTU'S 17/49:9
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
Do 019i, r
FEES: Valuation Permit Fee Paid 99( "—e9 Park Dedication
ISSUED BY Date .PY /9r Final /O.P. a L i 7®
In the performance of is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR 0 7/"{c7 p �2 ,Q
AGENT /OWNER D E
ADDRESS
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