HomeMy WebLinkAbout0031056-HVAC CITY OF OSHKOSH N2 31056
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ilip ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 S3 I-&'` t- )CP---Ccj PLAN NO.
OWNER £(J5 a,,,,,,94--
DESIGNER
USE /NATURE OF WORK ti .r i4--- G v GL!/ APP-ii 'e-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR ei '0
Heat A/C Vent Fuel /System 6 Heat Loss RS di BTU'S ,f a `C
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 7 4-467 Permit Fee Paid fft° Park Dedication
ISSUED BY c �C Date 9/0/ Final /O.P. 'ya
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 9 ,.0 /f
AGENT /OWNER DATE
ADDRESS Aftel (a kIN
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