HomeMy WebLinkAbout0042570-HVAC Py,
CITY OF OSHKOSH
N 42570
P ERMIT APPLICATION AND RECORD
TYPE: BLDG HTG4 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS E ii Z -61 1 1 ;P
PLAN NO.
OWNER /Gf Jr ch car, 7
DESIGNER j� �,c
USE /NATURE OF WORK tJ Ne-C-1-• )/7 t
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Or ewer DJ"''
t Heat A/C Vent Fuel /System AL Heat Loss A Pp /9 BTU'S
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
Aloe._ C� Permit d�
FEES: Valuation
ermit Fee Paid Park Dedication
ISSUED BY Date it /cfY Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
,,44
/�/y'
AGENT /OWNER D
ADDRESS /iffri/'
TELEPHONE N