HomeMy WebLinkAbout0039603-HVAC CITY OF OSHKOSH N 39603
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG p ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS i y 7/ G�4 ect-1 •,L id CZ Q y PLAN NO.
OWNER jf/S L,K�!
DESIGNER
USE /NATURE OF WORK t) /Y e w /t 'P
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Or e/ fr
i Heat A/C Vent Fuel /System /LS- Heat Loss 4f, BTU'S 6?j�'
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 9-7412, Chi Permit d�
(7*--- it Fee Paid Park Dedication q
ISSUED BY Date 4 Final /O.P. 9. iii
In the performance of this work I agre to perform all work pursuant to rules governing the described construction.
SIGNATURE 11/ Y/9 e,/
AGENT NER DA
ADDRESS
TELEPHONE N