HomeMy WebLinkAbout0020353-HVAC (a/c) CITY OF OSHKOSH N2 20353
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG r2 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Sa a(.' C G/ PLAN NO.
OWNER L Q bl sh C 7
DESIGNER /j
USE /NATURE OF WORK 4 1
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 5 ie r
Heat A/C Vent Fuel/System He at Loss �f 5 7 BTU'S ,w
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 4 �a'e C}� 2
S al uation Perm Fee Paid e Park Dedication
ISSUED BY Date 9/ /0 Final /O.P. s 1(?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4 /1 (4 ����5i.
AGENT /OWNER DATE
ADDRESS
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