HomeMy WebLinkAbout0002164-HVAC (11-6-.) CITY OF OSHKOSH N2 02164
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 9j3 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS O" 2'6 D Gv.e -/06, C/ • PLAN NO.
OWNER a t' /'C/ ' i t f? , l.
DESIGNER
USE /NATURE OF WORK f 7 eel !/ . /fiea- 46 5 #4-1
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Ca ii dry YOB / Co yh.r47r'il
t ..., 7 Heat tp A/C El Vent ❑ Fuel /System /l/4 Heat Loss 45 11 BTU'S oG l/SO`'D
Pds e-
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp 111 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 $ 0 7 Permit Fee Paid $ /'9° a" Park Dedication $
ISSUED BY oea L.l Date / /h "/% Final /O.P. 94)0 47
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE. Sl4 00.N.Y.41,
4021kS
AGENT /OW
(r DA
ADDRES (- 63)C 1 b - 14 14 --,3 I S4 ‘
TELEPHONE #