HomeMy WebLinkAbout0034140-HVAC (furnace) CITY OF OSHKOSH N2 34140
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 1Z5 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 4'1 l r// teia - '/'a' PLAN NO.
OWNER 1E / " X15 r J /'z G/fL
DESIGNER
USE /NATURE OF WORK iettkf e /4-`"sr a e
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ' 5 /MI s 5,e �� S /t C--
r Heat Y] A/C ❑ Vent ❑ Fuel /System f t(' 6 -- Heat Loss i- V/ BTU'S O
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 �' • r'`P� Permit % f = �j
$ �`t ermit Fee Paid $ Park Dedication $
ISSUED BY '' Date ,�57 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR
AGENT /OWNER DATE
ADDRESS 3 C cloc,
TELEPHONE #