HomeMy WebLinkAbout0029174-HVAC CITY OF OSHKOSH N9 29174
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /9 C.I.Jb -er-;f 7c1� CGf PLAN NO.
OWNER RJ v5ch 6 n 9 S
DESIGNER
USE /NATURE OF WORK 4 r LL
8 4 //I2 y N e LC/ "119111...-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
6 0 HEATING CONTRACTOR 13 r .G w e r
Heat A/C a
C Vent Fuel /System Heat L oss yy//
/�f BTU'S 0/ ei
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 p_ az2 Permit Fee Paid '57 Park Dedication
ISSUED BY V Date 6 frr/ci-- Final /O.P. _[sue /�S79a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
NOW 1 IP
SIGNATURE 41111■
11 'ilk AGEN' R DATE
ADDRESS l l?::) 1,-■ (4.) -1 7 $4� 1,
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