HomeMy WebLinkAbout0023653-HVAC (a/c) CITY OF OSHKOSH N2 23653
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 40 ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /a7/, W /n4a h PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK ad 14/G- 5--,
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR f `-la h X
e Heat A/C 49 Vent Fuel /System atocy---- Heat Loss f BTU'S 7z, "2
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 i° a l' CA9 Permit Fee Paid e 0`"fl
Park Dedication
ISSUED BY v Date b /g/47 Final /O.P. G 7 9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE et
0
AGENT/OWNER
DATE
ADDRESS
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