HomeMy WebLinkAbout0040582-HVAC 5/2-
411 CITY OF OSHKOSH N 40582
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG tiP ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 8 ep e y '1 j PLAN NO.
OWNER /4 Y 1 old 11 e n k 1-'? 4 4 c& po
DESIGNER
USE /NATURE OF WORK lC G A eu/ o PC e g .5 0p
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR �4/'t4'YlQ Heat V A/C Vent -1A1 Fuel /System /L 6. Heat Loss App BTU'S J L €49 7
f 11 I Via k el) e j 5; c' /-7-)(15.1- ce
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 4 ci0 Permit Fee Paid 4,5: Park Dedication /1,
ISSUED BY Date 7/0 9 y Final /O.P. 7 f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �1 5 A
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AGEN /•WNE` DA
ADDRESS
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