HomeMy WebLinkAbout0037068-HVAC CITY OF OSHKOSH N 37068
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG [Y ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /0 14./I1 .ecy7 id PLAN NO.
OWNER g U 55.4
DESIGNER
USE /NATURE OF WORK H llr ;/"r :G- Ai e c.4/ go/4 -7 '4-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR Rr`LJLIJ e/4 t'
Heat V A/C Vent Fuel /System .Alc a Heat Loss Ali BTU'S ce 001%
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 Gi C Permit Fee Paid 1:10- 1:10- J C .)2€2 C .)2€2 Park Dedication
ISSUED BY C7 Date /I/ l /9- Final /O.P. 'x /22/ 9'/
In the performance of is work I agree to p orm all work pursuant to rules governing the described construction.
SIGNATURE Q/9'3
AGENT /OWNER DATE
ADDRESS lefe/n
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