HomeMy WebLinkAbout1987-HVAC (furnace) 40,-) — CITY OF OSHKOSH N o 02
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ( -Oa I PLAN NO.
OWNER T;;' /21 g 5
DESIGNER
USE/NATURE OF WORK �i s fac e_ Pi, r /> C e- — 57.r O'e-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR !7 .e...,) /t- C S -e4 rs / �..�
Heat A/C ❑ Vent ❑ Fuel /System N ' Heat Loss ��/�� i / BTU'S 50 Mil
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 $ /5 3g Permit Fee Paid $ J �< ae / Park Dedication $
ISSUED BY 4 e-'(‘ e ' Date /// 9/4, Final /O.P. f / q - g 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
4/ALILAry,tt --- / /J3,
AGENT /OWNER / / J TE
ADDRESS
TELEPHONE #