HomeMy WebLinkAbout0043771-HVACrd CITY OF OSHKOSH N° 43771
\`' v PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG Q` ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS /F757 / 57 6 -e ra h e / rFZ1 PLAN NO.
OWNER IL US G
DESIGNER
USE /NATURE OF WORK ZI Y. A G f 1l ec. y &Lz&
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation
Class of Const. Occupancy Permit
HEATING CONTRACTOR J "iGC/ f-
Heat A/C ❑ Vent ❑ Fuel /System /l - Heat Loss -41- BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
—BT WH
Lav
WC
— Sink
Other
Sh
FDr
— LTub
— Disp
— DW
—SP
— Eject
Volts Amps —
Circuits
— WSoft — CBasin
— DF
— Ur
SS
— San. Sewer_ — Storm Sewer
Water
FEES: Valuation $ �° Permit Fee Paid $_ /0- G�-o Park Dedication $
`� Date 4l /a
ISSUED BY a dT� Final /O.P.
In the performance of this work I agree )p perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
O Ji
ATE
TELEPHONE #