HomeMy WebLinkAbout0002398-HVAC CITY OF OSHKOSH No 02398
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG r ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Azl Lv hwr 57 PLAN NO.
OWNER a /f et- Rtf S ch
DESIGNER
USE /NATURE OF WORK ����T /11Q dg(, A4-21 e-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR CO hen#1 7W a 1.47-7
Hear"�.1 A/C Vent 111 Fuel/System /►.c Heat Loss TU'S 7'P
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 r �Urf�.- Permit Fee Paid 00 Park Dedication
ISSUED BY r 1
Date /P! Final /O.P. I k to
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 00444 W"-- ..ty,4 lQ`
AGENT /OWNER
E vV
iii DATE
ADDRESS 1 t) USA St C am— 14 vj ti.o
TELEPHONE