HomeMy WebLinkAbout0009978-HVAC (a/c) CITY OF OSHKOSH N2 09978
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 9V ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 ‘.(21 k2. Ws /o PLAN NO.
OWNER h h7 20-c_h ,,2,
DESIGNER
USE /NATURE OF WORK /4-/c___ F: Re5
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR We? 7 0 4' Z-.
Heat A/C Vent Fuel /System neC d Heat Loss X1,71 BTU'S 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
V
FEES: Valuation 2- qc c G Permit Fee Paid z L‘ A-t5 p. Park Dedication
ISSUED BY `L���-�!� Date Final /O.P. 9 -,2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE X( 1.-"s--7 0eAr
ct`z AG ER �/J�
ADDRESS 5 5 A 0.t p 9 3c 01 8"
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