HomeMy WebLinkAbout0008866-HVAC (RTU)n CITY OF OSHKOSH N°_ 08866
`► PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG V ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS 40 1 Al C ��_ ))_ V _ PLAN NO.
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OWNER
DESIGNER
USE /NATURE OF WORK_ GOT f / C_�-
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height _
Class of Const. Occupancy Permit
HEATING CONTRACTOR Q'v r -
Heat Nn A/C Vent E] Fuel /System — 4 Heat Loss 0 BTU'S w� �
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures __ Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT —
WH
Lav --
Sh
WC __
FDr
Sink —_
LTub
Other
Disp
DW
SP
Eject
WSoft
DF
Ur
SS
CBasin
San. Sewer_
Storm Sewer
Water
FEES: Valuation $ �fl' C� Permit Fee Paid $ "f Park Dedication $
�y e_cy
ISSUED BY Date Final /O.P. ,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE – AO_611L ER oa
ADDRESS TELEPHONE #