HomeMy WebLinkAbout0035157-HVAC (a/c) 6r�
CITY OF OSHKOSH
N2 35157
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 8 1 6 t-1/0 /,7 h e 50/4 PLAN NO.
OWNER 11.4 "to t ✓ C' e 5 5'
DESIGNER j �/
USE /NATURE OF WORK 15 MC
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR .Ter4 7 5 1 , 5' ,7 7 1 '1
Heat ❑ A/C p Vent ❑ Fuel /System Heat Loss 4 > Y'/ ` Sb BTU'S / l b h'Li kil
G
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 $ / 5' - "' Permit Fee Paid $ ,1 "- - c1-11 Park Dedication $ ^-
ISSUED BY . Date 7 /1 - V9 3 Final/O.P. I/30/ 9T
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE G��� 1) ENT/OWNER ,'��-
DATE
ADDRESS ! 2 a,/e f_e_.
TELEPHONE #