HomeMy WebLinkAbout0020232-HVAC CITY OF OSHKOSH N °_ 20232
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / V /Uo ✓ /O /la ` PLAN NO.
OWNER ty C-0 . �U 5. / LI 2).7
DESIGNER
USE /NATURE OF WORK 1I �2'11n i ,4 e4/ Uorkt e.-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR cell de 4 lk &ZJ 6 Ill o Ce ' r 4, tic--
Heat A/C ❑ Vent ❑ Fuel /System / Heat Loss ,G / p BTU'S / cit'J` z '
t 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
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FEES: Valuation $ # .3ietYil1U Permit Fee Paid $ y`7; "2 Park Dedication $
ISSUED BY Date 9/V/ Final /O.P. 6 ' 7 - V/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0 A/ �- 0,
AGENT /OWNER DATE
ADDRESS
TELEPHONE #