HomeMy WebLinkAbout0041807-HVAC (furnace & a/c) CITY OF OSHKOSH N°- 41801
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG y ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 13/ 9 /V 4 .`(Ofri4/ PLAN NO.
OWNER I'/ C.. r O j 5
DESIGNER //� �^
USE/NATURE OF WORK_IQ'CL FC'rkt4pee y- j NC_
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /hi/ L° r"O G'R `1 `l
Heat p A/C F Vent ❑ Fuel /System AL 6 . Heat Loss _ kV/0
V /0 BTU'S _,C t Z 9
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
/
FEES: Valuation $ 3 C. Permit Fee Paid $ ?3 0.10
Park Dedication $
ISSUED BY Date p`A- V 97 Final /O.P. 1, - 1 / / 2 /9r
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ` D "
AGENT /OWNER DATE
ADDRESS /�i9.�',� c--.= S 2 3)' &3D
TELEPHONE #