HomeMy WebLinkAbout0031055-HVAC CITY OF OSHKOSH N°_ 31055
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG igl ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 b 9 �h €cr, Pt ei PLAN NO.
OWNER f v 5 CO hs T
DESIGNER 1
USE /NATURE OF WORK i •A–C' Ai t G[/ 466
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
le, HEATING CONTRACTOR 0 r e r ii-1?
Heat W A/C Vent Fuel/System 6 Heat Loss BTU'S J�q G
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
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FEES: Valuation 7012_ D Permit Fee Paid r- Park Dedication
ISSUED BY Date Q/ 0 Final /O.P. leVicP 7n�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE`
49 f A /OWNER DA
ADDRESS /q/ 4
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