HomeMy WebLinkAbout0009433-HVAC (a/c) CITY OF OSHKOSH No 09433
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG F ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,--67 Ufa (-121/17 ) PLAN NO.
OWNER 0/•/l F14 -'i!1 P_
DESIGNER C �j
USE /NATURE OF WORK 4-4 /J'/ G- 5.P: el
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 1`4 ar y. kl- //
Heat ❑ A/C Vent ❑ Fuel /System /id Heat Loss FY / T BTU'S 3 1 G
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 $ / ' ° Permit Fee Paid $ / 7c o`e Park Dedication $
ISSUED BY `'�ri` / e. Date 7/ t $ /rf' Final /O.P. S( ,2°a -- W
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ..1 , l A T � ' l- O:
AGENT /OWNER --� DA J
ADDRESS 3 7 t- ) S 6J• a ✓/6.4L. fft1 . a 3 S S/O
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