HomeMy WebLinkAbout0047765-HVAC (a/c) CITY OF OSHKOSH N2-47765
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG [50 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 5 5-ate/ kg C PLAN NO.
OWNER 91Adio'r 5 A /h
DESIGNER
USE /NATURE OF WORK a
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
g_ HEATING CONTRACTOR if 5 II1 L/ j 5 e
Heat A/C Vent Fuel /System J! r? C Heat Loss 9/ 5 BTU'S 1 �7 i
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 0112 Permit Fee Paid '7 i'`g9 Park Dedication
ISSUED BY Date /go/fol.( Final /O.P. 1 1) 9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i\k_cue,t
AGENT /OWN R DATE
ADDRESS V, 4 �O
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