HomeMy WebLinkAbout0029173-HVAC CITY OF OSHKOSH N°_ 29173
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG V ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 y6 ir/4 -e_ )c— ii`elc PLAN NO.
OWNER 40,C% CO A
DESIGNER
USE /NATURE OF WORK id ea 7 ,23 ,4" Atom t_
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
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HEATING CONTRACTOR 0 r eC J er
Heat �L y�
�7 A/C Vent Fuel /System *.S Heat Loss BTU ?9 L`'C)
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
1
FEES: Valuation ale' Permit Fee Paid 9 Park Dedication
ISSUED BY -P../et.--. Date +(i /9.2- Final /O.P. lj IS
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Illb 0
SIGNATURE _111.` ‘//*J77'2--
AGENT /OWNER ATE
ADDRESS 4 c 2 -t g-
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