HomeMy WebLinkAbout0036741-HVAC (4 -10.) CITY OF OSHKOSH N 36741
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 74' ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /v 144 eciActit -fd kia-7 PLAN NO.
OWNER g U S -h Co a S/
DESIGNER
USE /NATURE OF WORK /4 A/ e /Am
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR Or ec.v e h 1-1-
Heat rp A/C Vent Fuel /System ,ti 6- Heat Loss kr Off BTU'S 5 ClO
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation C
A Permit Fee Paid $_P-5"; 4447 Park Dedication
ISSUED BY g--- Date ii/ •VJ99 Final /O.P. ID 2 9 V
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE G y
!r/ /9,
A T /OWNER DATE
ADDRESS lye --i 1 /7y
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