HomeMy WebLinkAbout0004935-HVAC (a/c) (410-) CITY OF OSHKOSH N2 04935
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 7 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1l9D 5 4J' t or PLAN NO.
OWNER T,'vv n, /{7
DESIGNER ��jj����
USE /NATURE OF WORK /J' e, Pj 0-`C .1'f. Q
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR L(/.PS'/P y q a
V Heat A/C r Vent Fuel /System Heat Loss 4" BTU'S 7 "1 15
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 V
C� Permit Fee Paid /•2 Park Dedication
ISSUED BY Date 81/0' 7 Final /O.P. i 2 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7, e y
AGENT /OWNER ATE
ADDRESS
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