HomeMy WebLinkAbout0038192-HVAC (furnace) caev
CITY OF OSHKOSH N9 38192
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 11 90 $ate e ci- PLAN NO.
OWNER T 5ni� b
DESIGNER
USE /NATURE OF WORK �Y <Q c e FG
BUILDING CONTRACTOR
Size Sq. Ft. Rooms
Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR W eS I e
Heat A/C Vent ,r
ent Fuel /System i. Heat Loss t ST BTU'S Z®
f
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 26' C Permit Fee Paid f 07 V
Park Dedication
ISSUED BY Date 1' 4r /y C e
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE'
AG /OWNER DATE
ADDRESS
TELEPHONE