HomeMy WebLinkAbout0046456-HVAC (a/c) 5ei
CITY OF OSHKOSH
N2 46456
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG V, ELEC PLBG El SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 /09 Gv 56v2)-1 4e 4 PLAN NO.
OWNER /o. fr e kr FP 15
DESIGNER
USE /NATURE OF WORK A dd h Hie__
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
L H EATING CONTRACTOR il' e try y let n _f
Heat A/C 14 Vent Fuel /System frito r Heat Loss n r BTU'S 7 h if Ale
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 U'f/ c CAC_ Permit Fee Paid 7- Park Dedication
ISSUED BY Date r.///93 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE GrZ D 1l9.f
AGENT /OWNER
DATE
ADDRESS /V- ZN® S 24 L!/�iV/V CO /LW E "cZ— i -6
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