HomeMy WebLinkAbout0013430-HVAC (furnace & a/c)CITY OF OSHKOSH N° 13430
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG y ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS p a cv _ PLAN NO.
OWNER ac_-) ),/Y,. t' 4 ,
DESIGN
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
HEATING CONTRACTOR L,(—/ ' E2/
Heat A/C Vent ❑ Fuel /System
# Rooms # Stories Height.
Class of Const. Occupancy Permit
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT
WH
Lav
Sh
WC
FDr
Sink
LTub
Other
Disp
DW
SP
Eject
Y
Heat Loss AE K A7 � BTU'S —mac
Volts Amps
WSoft
DF
Ur
SS
Circuits
CBasin
San. Sewer_
Storm Sewer
Water
FEES: Valuation $ �i� c1'� Permit Fee Paid $ Park Dedication $
ISSUED BY Date ,�iT/ Final /O.P. 6A61F?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _
ER
ADDRESS
DATE
TELEPHONE #