HomeMy WebLinkAbout0023703-HVAC (a/c) CITY OF OSHKOSH N2 23703
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 1 6 CO plesS J r'7' PLAN NO.
OWNER Hitch 4/ F
DESIGNER �b �J, Q Q
USE /NATURE OF WORK /bt/•T k.--- 5,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 6 'T ,11 A 47 ,
Heat / A/ C Ve Fuel/System Ale Heat --- / S h
❑ [� ❑ y � eat Loss S BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ 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 $ I . Permit Fee Paid $ AR Le r Park Dedication $
ISSUED BY Date __CelaW Final /O.P. G )711/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0294, 4 / 6/9/
AGENT ER / /g/
/ DATE
ADDRESS
TELEPHONE #