HomeMy WebLinkAbout0046157-HVAC (furnace & a/c)CITY OF OSHKOSH N° 46157
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG F�% ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS 161f PLAN NO.
OWNER r ki r Hatifr a
DESIGNER
USE /NATURE OF WORK P-C All Ce C
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
# Stories Height
Class of Const. Occupancy Permit
HEATING CONTRACTOR 6,'�r T_iw6w h�-�
Heat A/C W Vent ❑ Fuel /System ZV 6- Heat Loss Ey &r BTU'S /yO+ &V e,
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT
— WH
Disp
— WSoft
Lav
.— Sh
DW
DF
WC
_ FDr
SP
_ Ur
— Sink
— LTub
_ Eject
SS
Other
Amps
Circuits
CBasin
— San. Sewer-
- Storm Sewer
— Water
FEES: Valuation -$ Permit Fee Paid $ ®``� Park Dedication $
ISSUED BY F' Date - 7/21/ Final /O.P. ID %(� 15
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER
DATE
ADDRESS TELEPHONE #