HomeMy WebLinkAbout0036039-HVAC CITY OF OSHKOSH N° 36039
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 73 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS i l' At PLAN NO.
OWNER g 05 c-ti C' n 5
DESIGNER
USE /NATURE OF WORK H•r
i4 AP u/ 176 k e-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 13r ew e r 14-
r. Heat V A/C Vent tom,
Fuel /System /u-- Heat Loss ,��f n BTU'S 1 a'd`D
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 CA.67 Permit Fee Paid 4A4119
Park Dedication
ISSUED BY Date 9 /ato/q Final /O.P. 0 3 P+
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
4
A T /OWNER oa/lio
DATE
ADDRESS ipi l 7qe N
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