HomeMy WebLinkAbout0038429-HVAC (furnace & a/c) 38429
CITY OF OSHKOSH N
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG fi@ ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 9y laze-lie-1f AI PLAN NO.
OWNER 2-e Ca Jii
DESIGNER p
Add USE /NATURE OF WORK `QG f' re-tac G° Y Ad /c F. r
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Ra frn vs 5 eL.* 5 ii--4 rTZc---
i Heat vi A/C Vent Fuel /System N- Heat Loss t 5 BTU'S v a a
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 37 Permit Fee Paid y, r`°
Park Dedication
ISSUED BY Date V /W 9y Final /O.P. 9 iY ?S
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �l 5fr /y7 7
AGE T /OWNER DATE
ADDRESS C ��f C (1 cA
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