HomeMy WebLinkAbout0041331-HVAC (a/c) No 3/
(41 -11.) CITY OF OSHKOSH 41331
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG IV ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1/ et...4 W,* 4, PLAN NO.
OWNER Ch r'/ s 8 e cic4
DESIGNER
USE /NATURE OF WORK A`f-7
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
doiHEATING CONTRACTOR Pt F )C
Heat iiik NC cip Vent Fuel /System C�' Heat Loss 4 c L tr BTU'S ).(45P 1 12L
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 $�ltD' 4-4-49 Permit Fee Paid 7 4-4119 Park Dedication
ISSUED BY Date 0 1 Final/O.P./0 c9. 3-
In the performance f this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
4/ONER
ADDRESS
TELEPHONE