HomeMy WebLinkAbout0027836-HVAC CITY OF OSHKOSH N° 27836
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG p ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 12 7 0 1 Tl i e- PLAN NO.
OWNER 0 5 C—/ CD /l y7Y
DESIGNER
USE /NATURE OF WORK ti• vJA'i AV.e cJ d go_m re---
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ✓rt;wee ,4-17
Heat 0 A/C Vent Fuel /System /1/- 4 Heat Loss ki /�fl BTU'S eleU`v
ii
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 r/ ae2 Permit Fee Paid 9 �e/4-0 Park Dedication
ISSUED BY Date 3 f 7 M- Final /O.P. ca
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7f 9L AGENT /OWNER Va" DATE
ADDRESS I lid t .7 o 7%C
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