HomeMy WebLinkAbout0001185-HVAC (furnace & a/c) CITY OF OSHKOSH N2 01188
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG p ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS '7:0 C 7 5 2 PLAN NO
O W N E R 1e! V/ 7 H,- C C- C' c k._
DESIGNER �/J y�
USE /NATURE OF WORK fb-14e FLIP/1,9r awe, Adel A/C-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR k i/ r'rOf? 171-7-7
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Heat"n A/C T �7 Vent Fuel /System A/ Heat Loss AC /S t7/7g 7s 7 z BTU'S -t
y -7D .9`Y i Al
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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 e y �p Permit Fee Pai L Park Dedication
ISSUED BY �T Date `�f/!r Final /O.P. 1 I 7 8 C-P
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
�f 4/0ER ATE
ADDRESS 0 �y 4,4,-e,
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