HomeMy WebLinkAbout0006193-HVAC (furnace)CITY OF OSHKOSH No 06193
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG x ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER r11(a10 �
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
dG
PLAN NO
Sq. Ft. # Rooms # Stories Height-
Class of Const. Occupancy Permit
HEATING CONTRACTOR LAZ f
Heat A/C ❑ Vent ❑ Fuel /System Heat Loss — BTU'Sf%
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT
W H
Lav
Sh
WC
FDr
Sink
LTub
Other
Disp
DW
SP
Eject
Volts Amps
WSoft
DF
_ Ur
SS
Circuits
CBasin
--San. Sewer_
Storm Sewer
Water
y
FEES: Valuation $ 77V1 t l� Permit Fee Paid $
V Park Dedication $
ISSUED BY - J Date �� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ��
AGENT/OWNER D E
ADDRESS
TELEPHONE #