HomeMy WebLinkAbout0012279-HVAC (wood stove) CITY OF OSHKOSH
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PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG M ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 .7 �J% i 1159 1.7 PLAN NO.
OWNER f! a V` k, i e r Y' e a v
DESIGNER J 1/ USE /NATURE OF WORK v r <R i 's {'1 t/2 5 W a a 01 5)d l/`
P a-a I- g y e-
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR CCU n -el"
t Heat N A/C Vent Fuel /System 501/ Heat Loss P 1 5 )Y47 BTU'S 1/ r i a ibi e
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
__Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation y6 7 Permit Fee Paid /5- '')e7 Park Dedication
ISSUED BY Date 0 Final /O.P. '"16
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE li' Zeo' �F
AGENT /OWNER DA
ADDRESS 07y //S 2 ,/,..73 4/10
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