HomeMy WebLinkAbout0023424-HVAC CITY OF OSHKOSH N° 23424
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 6O CAA S cu a 0 r PLAN NO.
OWNER I)e Ji ki 1 '5 5 4 (xJ' 4 4
DESIGNER
USE /NATURE OF WORK 14 71-C-' /Y cr./ 'IO 1-77 e_
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Loos SST fro
Heat lin A/C V Vent E Fuel /System AL Heat Loss /.4j p BTU'S h (lYe
9 z 7 1 9 k 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 Permit Fee Paid /405:'&4-e2 Y Park Dedication
ISSUED BY Date :4 /d/ Final /O.P. 4 7 97
In the performance of thi work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i��
AGENT /OWNER DATE
ADDRESS
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