HomeMy WebLinkAbout0041628-HVAC (furnace) CITY OF OSHKOSH NA 41628
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG '41) ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 4 / i PO w e es -3-7-- PLAN NO.
OWNER e Ci S 5 /10 5 e1 It'
DESIGNER Rep Jzc USE /NATURE OF WORK 1 –f Fe/ en ae-�
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR re- 01 c {Z 5t ✓ 's / ier h
Heat vp NC ❑ Vent ❑ Fuel /System /I- a - Heat Loss _ z°/3 BTU'S .21-; / c�ra
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 $ ,P4719 - C Permit Fee Paid $ P--7 ✓ Park Dedication $
ISSUED BY –g U Date 7//1/ Y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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AG /OWR p
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ADDRESS
TELEPHONE #