HomeMy WebLinkAbout0041269-HVAC Ft7
CITY OF OSHKOSH N 41269
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG [p ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS l/ Ch
i PLAN NO
OWNER le U J�
DESIGNER y/
USE/NATURE OF WORK fr r L-C r /140_,c,... 6 lrR,e
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR `Li' e_jer j
Heat VP A/C Vent Fuel /System 4 Heat Loss ios BTU'S 5 CJz O
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 i Permit Fee Paid
C Park Dedication
ISSUED BY Date _0 5 /9y Final /O.P. /V 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Oi 9V/ 0 V AGENT E R DA
ADDRESS ki, ir ��/J
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