HomeMy WebLinkAbout0018935-HVAC (furnace) CITY OF OSHKOSH N° 18935
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS y 5 41/ CC/ PLAN NO.
(f/e lli OWNER C? N4 PQ6
DESIGNER C
USE /NATURE OF WORK Pep pkee Ft//'' n a L 1? pe
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 7 2 et' i rp e r
Heat IA A/C Vent Fuel /System /i— C St Heat Loss f 1 T BTU'S /C67 g
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 6 U T' Permit Fee Paid j ,J c`L 17 Park Dedication
ISSUED BY Date Vca Final /O.P. 7' DQ b
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
(.26(Icizte.
SIGNATURE 4,7, V.9‘
AGENT /OWNER D A
ADDRESS
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