HomeMy WebLinkAbout0011702-HVAC (furnace & a/c) (4) CITY OF OSHKOSH No 11702
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG I� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
j /..-6-/i I
ADDRESS '/ ` rl jGCJQ N d PLAN NO.
OWNER r/ - 'Y'c/ re, 14 /'► a G`
DESIGNER
Q� %C USE /NATURE OF WORK /— ` / t -�
L ° UY'ir_.2 c / � ' /': �
i f
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR It/ e _,/ _ _ _,A,* _ C —
Heat '�► A/C V ent ❑ F uel /System u - Heat Loss �) / BTU'S l L- —
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
r� 0`dD
FEES: Valuation $ l . or Permit Fee Paid $ 3 U� Park Dedication i $
ISSUED BY Date / //,/�?' Final /O.P. 3 `'3/ 7 ,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE c� 'i' , �, V/P
AGENT /OWNER d�
ADDRESS
TELEPHONE #
1
t