HomeMy WebLinkAbout0003972-HVAC (furnace & a/c) CITY OF OSHKOSH No 03972
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 71Z ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS tv p, PLAN NO.
OWNER_ _?6 ��iJ�!
DESIGNER
USE /NATURE OF WORK iL' i i A �f
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR I e,eja Z. t° 7
c r Heat TP A/C Vent 111 Fuel /System L-'' Heat Loss y -/51/i BTU'S �4 e":" y--
f A/C--
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 3 cif Permit Fee Paid 3 4/ Park Dedication
ISSUED BY yze,...q..__ Date o,/,- -ft Final /O.P. f 87
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i e. 7
AGENT /OWNER /,/--/e-
AT
ADDRESS
TELEPHONE