HomeMy WebLinkAbout0018839-HVAC CITY OF OSHKOSH N°_ 18839
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG K ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 GI' eri m c# eon c7 PLAN NO.
OWNER ?D 11 ,Le' I1 1'"4v$5
DESIGNER
USE /NATURE OF WORK /1 1/' G. i t 5 LI n I
CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR CA j -re 1 C0rn t" Pi4e
Heat A/C Vent Fuel /System N-6; pp s Heat Loss 73"'S BTU'S j
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 Co Permit Fee Paid /or d`e Park Dedication
ISSUED BY Date 6/ `70 9 S 9e
F inal/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 11.A INs\ Wvt- Qa
GENT /OWNER ATE
ADDRESS
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