HomeMy WebLinkAbout0041257-HVAC CITY OF OSHKOSH N 41257
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS [9Y 0 1 1 -/Li eoi l i'el cii C.(fa7 PLAN NO.
OWNER l IJSC -J
DESIGNER
USE /NATURE OF WORK /7 V -11 C a Ne c.{/ Alppn
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR OP' ewer'
Z Heat Vp A/C Vent Fuel/System AL-C- Heat Loss 75 /3j BTU'S 5
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
_WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
�d`d`0- c�
FEES: Valuation
i Permit Fee Paid �,S"< Park Dedication
ISSUED BY T Date e.3/9y Final /O.P.
In the performance of this w. rk I agr to perform all work pursuant to rules governing the described construction.
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SIGNATURE
AGENT /OWNER g/_03/9/
TE
ADDRESS
TELEPHONE