HomeMy WebLinkAbout0031576-HVAC (furnace & a/c) 46) CITY OF OSHKOSH N°_ 31576
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG P ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 03 / W`4 CLIP ee a", PLAN NO.
OWNER re en PeyQ 1f DESIGNER
USE /NATURE OF WORK (20 G� Ft/i`// , ac,e° g''Add fIC-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
? CONTRACTOR C-
Heat A/C Yir, Vent ❑ Fuel /System - 6 Heat Loss O BTU'S i eA
' ,fin S
*. C--
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 7 FEES: Valuation $ Afy0-0. 0-e 0-e Permit Fee Paid $ /7 Park Dedication $
ISSUED BY Date a/ 9 / 9.2— Final /O.P. A° - a'� - 9°?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
---- i SIGNATURE1r�`l�/�, ^ G / /9Z
AGENT /OWNER DATE
ADDRESS V\_ t �� 7 �
\ .. S — "a I
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