HomeMy WebLinkAbout0013995-HVAC (a/c) CITY OF OSHKOSH N9 1
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 92 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 9r 9 ‘,l// /ten'51 PLAN NO.
OWNER "t 712 yr i 0 el e1
DESIGNER
USE /NATURE OF WORK 1 X41 L M
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONT RACTOR ei Z-ets -Ttiz e r
Heat A/C r Vent Fuel /System e G Heat Loss :S 7 BTU'S 7 `J
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 -e «tom Permit Fee Paid 6't9 V
7 Park Dedication
ISSUED BY Date Zij/ 7/'9 Final /O.P. 7 //d/3?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Cle",-4---,L12--A____, ish ��E'y
AGENT /OWNER DAT
ADDRESS
TELEPHONE