HomeMy WebLinkAbout0037537-HVAC (furnace) CITY OF OSHKOSH N ° - 37537
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 9/ '' / l !x -/ >2-4 PLAN NO.
OWNER 4 re f' e As?
DESIGNER �/
USE /NATURE OF WORK , 4. H
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR ( -tie's r6P Y �- f
e Heat [1 A/C ❑ Vent ❑ Fuel /System A1 Heat Loss �/ ''V BTU'S 447
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 $ %Q`f/`d - v'e Permit Fee Paid �✓ 4139 $ Park Dedication $
ISSUED BY Date «/ �/9 -, Final /O.P. :, • o) 3 ' 17
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE dX--1‘./
AGENT /OWNER ///
DATE
ADDRESS
TELEPHONE #