HomeMy WebLinkAbout0018827-HVAC (a/c) CITY OF OSHKOSH N2 18827
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG c4 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS !f CV/ Gh es/ -r, PLAN NO.
OWNER Mr ,L ill° 1'5 e C>/`1
DESIGNER
USE /NATURE OF WORK 5 P Pe_5'
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /YQr X -y-
H eat NC Vent Fuel /System �P Heat Loss Cx /5 BTU'S .4V 2 /41
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
FEES: Valuation ib 75
Permit Fee Paid Park Dedication
ISSUED BY Date 6/ 7/9 e2 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER D
�T�
ADDRESS 3 7oS G 4/ 42.,..../‘..,,L, -4'-- 2 3 s -G Sl.®
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