HomeMy WebLinkAbout0042567-HVAC (a/c) k5 --/r
CITY OF OSHKOSH N2 42567
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG VP ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 7 7 h e 1 A' bi (-1-).ay PLAN NO.
OWNER R.(._ J J zfo ii-5
DESIGNER
USE /NATURE OF WORK PZ/ //IC-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 9 r' 'ewer tty
e Heat A/C EJ Vent Fuel /System r Heat Loss 45 /0p BTU'S
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
X
/4fl- `2!U' �7-- C}–p
FEES: Valuation Permit Fee Paid p► Final /O.P. a
t v/ Park Dedication
ISSUED BY Date li 9
In the performance of this work I agre to perform all work pursuant to rules governing the described construction.
SIGNATURE t W //17?
AGENT /OWNER ATE
ADDRESS ifil
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