HomeMy WebLinkAbout0021074-HVAC (furnace & a/c) CITY OF OSHKOSH N2 21074
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG [r ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 900 Ct. /5 ®II? —uc.'" PLAN NO.
OWNER C 10c' °h
DESIGNER �j
USE /NATURE OF WORK f� l/ i ac. e G 1e
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (Li r°s ley BT
be Heat Loss lc ,�I
I/ /1 .T U'S((�D
Heat A/C� Vent ID Fuel/System
6 h,.7 ly
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
61- Permit G'`� Dedication FEES: Valuation Permit Fee Paid Park Dedicat o
ISSUED BY mow— DateMA•Vf& Final /O.P. j 2- L4''l7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
Vae 1
AGENT /OWNER DATE
ADDRESS
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