HomeMy WebLinkAbout1987-HVAC 41.). CITY OF OSHKOSH N2 05210
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS NO 0 Al- e y PLAN NO.
OWNER A6eps 62 V S GI)
DESIGNER
USE /NATURE OF WORK el f h 7 Mew fle 4 i- f Re S"
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR A' i n 6' N lea 14
HeatA/C Ve nt Fuel /System A/6 Heat Loss g 4 0 17 BTU'S C7YJ`f,
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 0-fl QRef
Permit Fee Paid `O i Park Dedication
ISSUED BY F Date _J Final /O.P. 1 G //GM
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/i
SIGNATURE J 0
AGENT /OWNER 7
DAT
ADDRESS
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