HomeMy WebLinkAbout0002108-HVAC (furnace) � CITY OF OSHKOSH No _ 02108
`' PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING _ FLOOD PLAIN HEIGHT
ADDRESS��'1.�, ���-��/ � ----- PLAN NO.
OWNER� � �'1 / la�'II't�'�'
DESIGNER
USE/NATURE OF WORK G f� Q c{i — �-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0 �
� Heat � A/C ❑ Vent ❑ Fuel/System � �� Heat Loss �s � � BTU'S����D
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 $ ` ' �� Permit Fee Paid $ ! � �� Park Dedication $
ISSUED BY —� ' Date l � Final/O.P. �/ �/�7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
��U � � r
AGENT/OWNE ATE
ADDRESS �� p C������LI� �- a II F
� TELEPHONE#