HomeMy WebLinkAbout0031104-HVAC (furnaces)nrn CITY OF OSHKOSH N°_ 31104
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ® ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / ?& OPO3 -AWa _ PLAN NO.
OWNER 7-0,47 A,
DESIGNER
USE /NATURE OF WORK 120j0 /0 e e 16:: i,' `t Wee S D C /% e
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
# Stories Height.
Class of Const. Occupancy Permit
HEATING CONTRACTOR 6&fel
Heat ❑ A/C ❑ Vent ❑ Fuel/System-/ Heat Loss ,�/ s % BTU'S Y-1-0Z' 9`
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT
WH
Disp
WSoft
— Lav
Sh
_ DW
DF
WC
FDr
SP
_ Ur
Sink
LTub
_ Eject
SS
Other
— CBasin
— San. Sewer_
Storm Sewer
Water
FEES: Valuation $ 7 ���� yV Permit Fee Paid $ Ale 44C / Park Dedication $
ISSUED BY `� Date /��i�9� Final /O.P. �� W/ j
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
� t-
/i f
DATE
TELEPHONE #