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CITY OF OSHKOSH N° 19632 n PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG (g ELEC ❑ PLBG ❑ SIGN ❑ ZONING . . ___ FLOO� PLAIN HEIGHT— " " _ " _ ' _ ' _ " " " " " " " " " " _ " _ _ _ - _ _ _ _ _ " " _ " " " ' _ " " " " _ " ADDRESS 3��' D ��� O/'c" N GI'�� H '� PLAN NO. OWNER �/�• �L�U� DESIGNER USE/NATUFE OF WORK�1'�U.L�L�� �U Elw/ �B'✓/'/ � BUILDING CONTRACTOR Sire Sq. FL # Rooms _. . _— # S�ories Height Foundalion Class of ConsL Occupancy Permi� HFATWC ('ONTRA('TOR ��` /7 c PJsI� / % y/ � (' '/I v LCIi��/'JPS / Heat �vM'C 14f� Vent ❑ FueVSystem N _U_ Heat Loss�,s__G���t� BTU'S 1��0��' t r � � -��� ra,,,v�� ,�oov� ELECTRIC CONTRACTOR _____ Electric Serv. New ❑ Change ❑ Temp ❑ Type Volis Amps— FizWres Switches Recep�acles Circui�s PWMBING COMFACTOR BT WH —Disp WSott CBasin Lav Sh DW _._DF Sart Sewer WC FDr —SP Ur Storm Sewer Sink _LTub Eject SS Water Other .— FEES: Valua�ion $--=�i2� Permit Fee Paid $ ��`�i'. !�'t� Park Dedication $ ISSUED BY o � Date �p F��avo.P. ��- ����40 In the pedormance of this work I agree �o perform all work pursuant ro rules governing ihe describetl consVuction. / }� � '�f / 4,a�-� �_� SIGNATURE�I�_ nc �owrvea o e ADDRESS /ffU � XAn.LA� S� �ctp.w�-�-C W �. �.J�' 7.�0? TELEPIqNE Y APPL DATE ��:0�'�•�' PERMIT n0. � �G�/� ADDftF•55 �p�o� 6 O�l� �/'G� (>� � � , OWNER li �• �Ci �i � Haxuee oe woax �?�-�j fy L �l. c�. E-/o.�„ � HEATINC CONTftACSOR '^ � .-�--i,'�-r' 1-��L�p..cT' )/LL:iY1PS/C� FUEL: A� OIL L� SOLAR SO IGy CONDITIONING ORCED AIR H.W. ELEC. BASE. SiEAM SYSiEM -RADIANT SUPPL. A C GHIMNEY: "A" "P" IRECT VENi CON.BURNER CALCULAtED HEAT LOSS�_SYSTE BYU RA2ING/B'/'CGr-�-f,' MI50. �1 r Y �����" ���/t'//et� INSP. ROOGH IN FINAL ' r�1s� ES'f. COS� " 1��, [1J PERNIT FEES J�:n, c/{> DATE PD � /� - _ REMARKS