HomeMy WebLinkAbout0027922-HVAC 4) CITY OF OSHKOSH N° 27922
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 'i ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS .0 f r ,*j p/'. PLAN NO.
OWNER ft r K re r'r'Ga
DESIGNER
USE /NATURE OF WORK ge f$ !w `'K @'e' ,e `J.
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR f v. la h
Heat A/C Vent Fuel Heat Loss 4 T BTU'S 713
ELECTRIC CONTRACTOR
E'ractric 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 01 Permit Fee Paid 61 (}11P Park Dedication
ISSUED BY iceP Date 4 /0 7 t— Final /O.P. 4 V1 9 2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 47 €94 A 40/f'
i AGENT /OWNER DATE
ADDRE
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