HomeMy WebLinkAbout0008595-HVAC (A/C) � CITY OF OSHKOSH N° 08595 `
`' PERMIT - APPLICATION AND RECORD � `
TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER ,fies Se TT!'� �f 5'Q h
DESIGNER
USE/NATURE OF WORK �� /5'-/ � � T-, (}���'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR � �f"
Heat ❑ A/C`� Vent ❑ Fuel/System '' Heat Loss � _ BTU'S� ��i
T-
�R
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����__ Final/O.P. �� ��g
In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction.
SIGNATURE `'��" Cj
AGENT/OWNER DA ' �
ADDRESS
TELEPHONE# �