HomeMy WebLinkAbout042414 - Heating (replace furnace) CITY OF OSHKOSH N2 42414
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG `fir ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 00 /LOC' t Vey'no `j PLAN NO.
OWNER V F',G l t'PI Cam',~! /ICY-
DESIGNER NER p�
USE/NATURE OF WORK_ __ atj e LiPtta, , ' r /t' g/c
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation _ Class of Const. Occupancy Permit
HEATING CONTRACTOR mC/5 Se',i�S l q`
EHeat yp A/C ► ' Vent ❑ Fuel/System N.C Heat Loss /et 1 BTU'S Z4l
94- 49/7 /WC-
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 $_ Permit Fee Paid y��
$ Park Dedication $
ISSUED BY '✓ � Date 149/9//
Final/O.P. //�/ E-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE -a1\h- --4v*NL- ,2 /4/7//17
AGENT/OWNER p
ADDRESS \ C\\
TELEPHONE
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