HomeMy WebLinkAbout0013755-HVAC (a/c) 46) CITY OF OSHKOSH N 0 13755
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG Vf ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a q y - 1 , h er// 7 PLAN NO.
OWNER P / 0 eOld!ar
DESIGNER
USE /NATURE OF WORK /8 16 Q 11-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR )C t r/92.G. i n e ""
Heat ❑ A/C T2 Vent ❑ Fuel /System Heat Loss 4-- L BTU'S
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 $ / 3 i z7 - C'`e Permit Fee Paid $ / r
�i'� Park Dedication $
iea
ISSUED BY ` Date 4 /F, Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE liyC-- 1,^ /A GENT VDATE � AGENT�O NER
ADDRESS . r► -� Ii .GAL —cJ►� d� % „ I 3/- ! l bi
/i / TELEPHONE #