HomeMy WebLinkAbout0003306-HVAC CITY OF OSHKOSH N2 03306
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG gt ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 8 L! /1 Ljur S PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK i i
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR f( roYal yl A r-
t Heat yJ A/C Vent Fuel /System V Heat Loss I$D. BTU'S /4 Pep
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 q /e,0_ Or Permit Fee Paid �7 Park Dedication
ISSUED BY t��� Date Y/A 7. 7 Final /O.P. �fii /k 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE oue..1M 4v.Rms g
AGENT /OWNER r
4 DATE
ADDRESS n 1tt)
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