HomeMy WebLinkAbout0041267-HVAC CITY OF OSHKOSH N9 41.267
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG "4) ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 t (/1` .e.v.i r `e- fc 0-Jay PLAN NO.
OWNER
DESIGNER r
USE /NATURE OF WORK 1 V 14- f Nect/ js e
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0 r-' e r
Heat A/C Vent Fuel /System N Heat Loss BTU'S 13 C -49
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 CVO C Permit Fee Paid 0- cl-e12 Park Dedication
ISSUED BY Date �,A V 9r Final /O.P. I I In p
In the performance of this work 1 agree t perform all work pursuant to rules governing the described construction.
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SIGNATURE i Lin- 3
/1,� AGENT /OWNER D ATE
ADDRESS /h`
TELEPHONE N