HomeMy WebLinkAbout003961-HVAC (boiler) CITY OF OSHKOSH N° 33961
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG n ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 11J/' 4 C-7.& `2 "ce 11 PLAN NO.
OWNER J C>e. j.C� lie", S 1"e ill;
DESIGNER
USE /NATURE OF WORK I2yJL Q C d30/j4/--
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Gv 1 y tt-
A/C Vent Fuel/System stem
Y Heat Loss Iv/ 71 Heat BTU'S 9 j GY/K7
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 33 Permit Fee Paid 'VV. Park Dedication
ISSUED BY (y
Date 7 ��1.3 Final /O.P. ()O C IS
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
C
SIGNATURE 6 /C.,
AGENT /OWNER DATE
ADDRESS
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