HomeMy WebLinkAbout0018840-HVAC CITY OF OSHKOSH N° 18840
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG tyf ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS I,y j C% 144 Ina 0 P7 PLAN NO.
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OWNER /7 N e F '2Jl 4 S ,5
DESIGNER
USE /NATURE OF WORK 1`V•4i. /Weeu/ 5 veil r
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR CD ij 4917 7422 1 Co A2. Qr0YY------ kV t Heat A/C Vent Fuel /System /V Heat Loss /QV f p, BTU'S Orr
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 i' A77, 0 `"4 Permit Fee Paid l4e "7 Park Dedication
ISSUED BY Date to/r/ 'd Final /O.P. f 4 Cr
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE bN Ok"---3 G /orife
ENT /OWNER
ADDRESS
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