HomeMy WebLinkAbout0047904-HVAC (a/c) --- D/
CITY OF OSHKOSH ND 47904
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p4 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 �� $T y 1/! e [,c/ PLAN NO.
OWNER J h 4 SGh .e UK
DESIGNER �J
USE/NATURE OF WORK /WC"'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR T �- t" -
e Heat ❑ A/C [x Vent ❑ Fuel /System t / L ° L f Heat Loss Z e 5 .. BTU'S g 1‘4:7 fr/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
FEES: Valuation 0- ?/< L� C� `
$ Permit Fee Paid $ / �� Park Dedication $
ISSUED BY Date /00 S Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r a 1,/ c7 95
N T /OWNER !/ DATE
ADDRESS (/ `I? e C1 °L CerD`j 35= 7 p
TELEPHONE #