HomeMy WebLinkAbout0037619-HVAC 3
CITY OF OSHKOSH N2 37619
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ic3 t e/ti YLL r t/ PLAN NO.
OWNER U 5 G h e v
DESIGNER F
USE /NATURE OF WORK 1 J ,A i_ r1J efal.pt
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR gr efii'k1
Heat A/C Vent Fuel /System At G, Heat Loss /7.1; 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
FEES: Valuation tic-z7 Permit Fee Paid r- Park Dedication
ISSUED BY Date JPy /9y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
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