HomeMy WebLinkAbout0021188-HVAC (a/c) CITY OF OSHKOSH N2 21188
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /0,3 tt. t it or
PLAN NO.
OWNER Came q SQ(i !21
DESIGNER
USE /NATURE OF WORK 449-- //e36/4f---/c____ 5: e
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
F)undation Class of Const. Occupancy Permit
EATING CONTRACTOR S b
Heat A/C Vent Fuel/System
e
Y eat Loss xl 5 5 BTU'S ib/7
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 3 c-`e Permit Fee Paid $18 :-0-e Park Dedication
ISSUED BY V-ete--- Date /40,.10 OD Final /O.P. l 't z-t-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e
AGENT /OWNER 9
P /fU'24.(24t&t-&)V-t-) l ��Fir_ DA ADDRESS 1
TELEPHONE