HomeMy WebLinkAbout0026546-HVAC (furnace & a/c) CITY OF OSHKOSH N° 26546
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG re ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /P. 19 'M1 A ifrs 4 PLAN NO.
OWNER f' PI y
DESIGNER
USE /NATURE OF WORK t.1 v eL
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
�J
HEATING CONTRACTOR 0�- �`SCl'/ VC e S 0' c-
e Heat A/C OS Vent Fuel /System N Heat Loss gY/ 57 BTU'S laz,Le, /0`7 P/L
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation y �0e .ate Permit Fee Paid AlOe ee' Park Dedication
ISSUED BY Date Final /O.P. 2' 3 r
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGN ATURE 4 ?Z
AGENT /OWNER DATE
ADDRESS r s" C c� 1
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