HomeMy WebLinkAbout0009031-HVAC (a/c) CITY OF OSHKOSH No 09031
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 1 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 i'b L( ik1/ r PLAN NO.
OWNER /7R e` go /4
DESIGNER
USE /NATURE OF WORK Add 6
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (Oil 40.7 7 e ft
t Heat A/C rent Fuel /System l Heat Loss t_ BTU'S PO frj
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 0.4-"0.4-"z) l/`-U
Permit Fee Paid Park Dedication
ISSUED BY l Date 7/// O ff Final /O.P. /0 V
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l! �T
AGENT /OWNER i I
ADDRESS
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