HomeMy WebLinkAbout0008095-HVAC (a/c) 4 o) P CITY OF OSHKOSH N° 08095
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG X ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /1 /1 W r Yi 6/5D ft PLAN NO.
OWNER 444aree./--‘=1VI*4024t___ j-Gl m I?5 rook
DESIGNER
USE /NATURE OF WORK OP S 1
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR H 4Z°uij11-
c r Heat A/C Vent Fuel /System kl e- Heat Loss f- C I i r BTU'S A 7`0 /7
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 f yd"a Permit Fee Paid f y. c' Park
a k Dedication
ISSUED BY__� Date 3,7/S8 Final /O.P. c 21- (Y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -0 i 9 O
AGENT WNER
DATE
ADDRESS
TELEPHONE