HomeMy WebLinkAbout0026811-HVAC (furnace) CITY OF OSHKOSH N°_ 26811
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 1,1 O errr'a PLAN NO.
OWNER 11e r 'Z Q !°J 2710 GL4-
DESIGNER
USE /NATURE OF WORK /aG PZi aa . �_ l
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR Lti,ef /01 b
A ff /
Heat NC ❑ Vent ❑ Fuel /System /x�. ‘- Heat Loss fr-777` ! 3 T BTU'S d 0
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 $ / 9 li" dQ Permit Fee Paid $ . V 4'`--e:7 Park Dedication $
ISSUED BY Date 019a11/ / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 /. / _.. %!�.... .',. W 309/
AGENT /OWNER D E
ADDRESS
TELEPHONE #