HomeMy WebLinkAbout0030556-HVAC CITY OF OSHKOSH N°_ 30556
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG. SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Ll Y e fa 14 /)e i) PLAN NO.
OWNER IW L°f `l~Ju ye 46ene.S
DESIGNER
USE /NATURE OF WORK `7=i /1[ e Lc/ gem_ e-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Ai 4 N
Heat ;r:, A/C 111 Vent 111 Fuel /System /Y_ 6 Heat Loss /45 i BTU'S be 0:729
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 IOW P Permit Fee Paid 3 Cl. Park Dedication $j/
ISSUED BY Date l/2/92— Final/Q. P O,?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE WAL._ 4��'
AGENT /OWNER /DA E
ADDRESS G8 SV 57 Cap1L \N11VNe. CO r• S6Z--440Z
TELEPHONE
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