HomeMy WebLinkAbout0004028-HVAC (a/c) CITY OF OSHKOSH N° 04028
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG NO ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 i(J, 1 s, f PLAN NO.
OWNER if 0 v
DESIGNER
USE /NATURE OF WORK l l i i ri 0r r
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR L.(f e /e/ 2
V Heat A/C 70 Vent Fuel /System Heat Loss 5(./5 7 1/7-J? BTU'S i17
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 /f l�0 f Permit Fee Paid UD Park Dedication
ISSUED BY a- Date /i /y7,0r7 Final /O.P. 9 V '87
In the performance of this work I agree to pertrt. rm all work pursuant to rules governing the described construction.
SIGNATURE W9/1-7
AGENT /OWNER D
ADDRESS
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