HomeMy WebLinkAbout0044157-HVAC (furnace) CITY OF OSHKOSH N 44157
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG't$ ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /gip? 5 GL, ee l Pact, PLAN NO.
OWNER Pa'! f 4 e,' I 4 q
DESIGNER
USE/NATURE OF WORK L" re J 'P/1!e
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR e ,1/
Heat FEP A/C Vent Fuel/System Heat Loss t /If BTU S h'
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 2,e/re cA® Permit Fee Paid 7• ltO Park Dedication
ISSUED BY -4 Date '//9f Final /O.P. I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
7
SIGNATURE Cier=X?"-"it"
R DATE
ADDRESS 6 ,YR
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