HomeMy WebLinkAbout0031064-HVAC CITY OF OSHKOSH N9 31064
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG MI ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS 4 PLAN NO.
OWNER k p5 4 6 .-t r
DESIGNER Jf �f�`
USE /NATURE OF WORK T7 r C, Abe-La iticim e-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
g HEATING CONTRACTOR 0 ~e-cUe-N
Heat 09 A/C Vent Fuel /System NA Heat Loss Pp, BTU'S 7 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
FEES: Valuation -Orr Permit Fee Paid cte Park Dedication
ISSUED BY 4.-.--,---14.-.--,---1,--- Date 9/0a/9,-- Final /O.P. /7 o 9.3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1_ 1� 3/ 9�
f AGENT /OWNER DATE
ADDRESS 4 et'
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