HomeMy WebLinkAbout0023480-HVAC (furnace & a/c) CITY OF OSHKOSH N2 23480
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG JE ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ''l0 Wi't2h671" PLAN NO.
OWNER Ta Jr /1
DESIGNER
USE /NATURE OF WORK aella6 rvrh QC. o#' )t/ G 5 r 1
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR il 17 '5$.e`I S j v
Heat r A/C Vent Fuel /System V. Heat Loss r BTU'S L/d0
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 Crr, Permit Fee Paid y 'rte
I Park Dedication
ISSUED BY Date .4 /Pf /f/ Final /O.P. -7 9 -1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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G� <WNER D E
ADDRESS 1 C 2� s= ‘0 s 6
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