HomeMy WebLinkAbout0044691-HVAC (a/c) mo o
CITY OF OSHKOSH N 44691
4 PERMIT
APPLICATION AND RECORD
TYPE: BLDG HTG 17 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 r PLAN NO.
OWNER Ed 63 U r d /7 e-- y
DESIGNER /24:, USE/NATURE OF WORK /G
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
ATING CONTRACTOR C. t
Heat NC Vent Fuel /System kiiP c�l Heat Loss F`t``5 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 1 v`
i d c
Permit Fee Paid Park Dedication
ISSUED BY Date 04/ Final /O.P. f a 3' 9 5
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Q �G 9��
AGENT /OWNER DATE/
ADDRESS 582-- 1 4 1 40Z-
TELEPHONE