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37577
IT OSHKOSH N° 42881
CITY PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 7 ELEC ❑ PLBG ❑ SIGN 0 ZONING FLOOD PLAIN HEIGHT
ADDRESS 3°-' /V /'-4/'k 5b - PLAN NO.
OWNER a- er J3/'et
DESIGNER
USE/NATURE OF WORK 121791.2e 8 fr-,2i.!'e.-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
EATING CONTRACTOR LI P 7' /A0/ 6 07
r _
Heat }j A/C ❑ Vent ❑ Fuel/System 111-‘ Heat Loss/-• 1°1,/7 BTU'S t4) ��
ELECTRIC CONTRACTOR
Electric Serv. New 0 Change 0 Temp 0 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 $ .- :52,e- 7:177 Permit Fee Paid $ 3?• crO Park Dedication $
ISSUED BY Date-451749/7,1 Final/O.P.
/„2 'l
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Ai 4,47 // 70/9y
AGENT/OWNER / DATE
ADDRESS TELEPHONE#
al
APPT. DATE rl/W`V- PERMIT NO. 1 b71
ADDRESS 'l N. 1-r 9-
OWNER (.9-t-ey A'11
NATURE OF WORK )24,1a 6 e FvPI4//� C
HEATING CONTRACTOR L.1 f' 1 e y f
FUEL: Srg OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM_
SYSTEM RADIANT
SUPPL. A/C VENT
CHIMNEY: "A" "B" ?On RECT VENT CON.BURNER
CALCULATED HEAT LOSS t'yq`5')` SYSTEM BTU RATING fa.0"0�
MISC.
INSP. ROUGH IN FINAL pi 7/5.5-
EST. COST �5Z21,_ c-/-09 PERMIT FEES 9 '• G1-4 DATE PD i7/%liy
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