Loading...
HomeMy WebLinkAbout0040902-PLBG. (Replace A/C) N� �� /`'� CITY OF OSHKOSH - 40902 PERMIT - A,PpLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZON�NG FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS f �.�s� �/.1z� � PLAN NO. OWNER � /]� DESIGNER USE/NATURE OF WORK _ � �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation_ Class of Const. Occupancy Permit__ HEATING CONTRACTOR Heat [� A/C ❑ Vent � Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change � Temp � Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � --BT —WH —Di —WSoft l�G� —CBasin —.Lav _Sh _DW _DF —San. Sewer �WC _FDr — SP —Ur —Storm Sewer .—Sink _LTub _Eject _SS _Water Other_ FEES: Valuation $ Z��� �' Permit Fee Paid $ ��� C" �� Park Dedication $ ISSUED BY i��'� Date � � �/ Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE � �.-�r C��-� � AGENT/OWNER D TE ADDRESS I'�'��C �o�..�lt'T�� ,�T OS�/FCc�Sf� t�' .��Qc�f 23�^ �]l�� TELEPHONE#