HomeMy WebLinkAbout032022 - HVAC (furnace) CITY OF OSHKOSH N2 32022
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 7' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 4 e°, NOG.1 y Y,0r0 O Al PLAN NO.
OWNER Fr a 4 J. ef'fc17/
DESIGNER
USE/NATURE OF WORK r S 4 C e FU r i f e C 5...
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
ti EATING CONTRACTOR 1-G"5 .17✓ ' tit-1
Heat Ilyc A/C ❑ Vent ❑ Fuel/System If Heat Loss 1-:"-V•t Y , 4-.0' ' �-D
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ V - C Permit Fee Paid $ 9 /` Park Dedication $
ISSUED BY i��-' Date III/ 0�9/' Final/O.P. /4 J3-94
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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AGENT/OWNER
ADDRESS
TELEPHONE#
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