HomeMy WebLinkAbout1991-HVAC (a/c) CITY OF OSHKOSH N9 25350
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 ? 0 PO uJ e t PLAN NO.
OWNER kbeN r 1 ew 15
DESIGNER
USE /NATURE OF WORK gi/ ,.:V` s 4
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR (2 t 4014 / a/yr 4 r. t - Ij (--'
t Heat ❑ A/C re Vent ❑ Fuel /System W-, e.- Heat Loss )/ .S T BTU'S ) k 12 //C.,
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
�/ - V
FEES: Valuation $ / (7 . 5 - 0 - C Permit Fee Paid $ ) / • Park Dedication $
ISSUED BY Date Q /� /1i Final /O.P. �' ? 6 9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r % kri`N " 9//4/9/
ENT /OWNER DATE
ADDRESS
TELEPHONE #