HomeMy WebLinkAbout0016045-HVAC (a/c) CITY OF OSHKOSH N2 16045
PERMIT - APPLICATION AND RECORD
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TYPE: BLDG ❑ HTG Lij9 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 / g 5k I/, e 'C/ PLAN NO.
OWNER gdtii`r fliel S Q /'f
DESIGNER
USE /NATURE OF WORK A / C-- 5 (
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR u'-,S /L
t Heat A/C ❑ Vent ❑ Fuel /System Heat Loss J LG d" S V BTU'S a 7' 7
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 $ �1 - c)"0 Permit Fee Paid $ '4 � Park Dedication $
ISSUED BY — Date l %Y�b Final /O.P. A 0 — FOr
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ch-6-7Ze/f-/---' / a /3o
AGENT /OWNER -15/1
Y Y
ADDRESS
TELEPHONE # ICI