HomeMy WebLinkAbout0031119-HVAC (boiler) CITY OF OSHKOSH N°_ 31119
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG g7 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7,.2 q 5 v/i, u W PLAN NO.
OWNER /'T"h "! 5'
DESIGNER // ,�]
USE /NATURE OF WORK 1 {.Qpiac e ( 36/ `I e :-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 1 e S `L° y /7'-
Heat Qi A/C ❑ Vent ❑ Fuel /System Al Heat Loss C Y ,' S 7 BTU'S 7 ✓ ei"
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 $ /P `410- rJ`l9 Permit Fee Paid $ / ` ti-e9 Park Dedication $
ISSUED BY 't-` Date w// /q 2- Final /O.P. '/- - Qa
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � ! i — _ !_____ /ONO Z---
AG T /OWNER DATE
ADDRESS
TELEPHONE #