HomeMy WebLinkAbout0047280-HVAC CITY OF OSHKOSH 142 47280
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG jp ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /9 `f zz4 x'. 4 '*l ../Q( 64/Z2 ye
PLAN NO.
OWNER W (1 S G v/
DESIGNER �,r
USE /NATURE OF WORK J4 J -11--C Nee-f/ 1)4 frn
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR hi eC-U et 14-
1- Heat [p A/C Vent Fuel /System At- a Heat Loss t ,tio BTU'S
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 hei: C ji7 Permit Fee Paid 0 C/L4P Park Dedication
ISSUED BY Date *ft J Final /O.P. /d 9-"' X
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
(4-
AGENT/OWNER
DA
ADDRESS gi an
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