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� CITY OF OSHKOSH N° 26344 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG '� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 7 3� /-L'EcLr1��r7 � PLAN N0. OWNER �PC`L7/'c I� � �G ' DESIGNER USE/NATURE OF WORK p'l�'��L� I'f /6i � l-� /��/ 1`<�!'/�7 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��'`�i'i� I E�/�'� �-�'�" � Heat ❑ AiC ❑ Vent �� Fuel/System Heat Loss �-�� �;L BTU'S " - ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volis 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 $ ISSUEDBY �"������ � � Date ���,��t�'�l� Final/0.P. !-�-1`% � �ii In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE ���"./'--�"F� �t�4-c� Gsf—c-z//�t. ?�� u,�. V� - AGENT/OW ER DA ADDRESS G-�'�� /V- .�i�� -. >_ /��� lYi��� �.33 -6�I TELEPHONE# + APPL DATE �7�Q/ PERMIT N0. f�' 7 yy ADDRESS _ �j `/1OO / '/�c�d�Sj7" ,J�X' i OWNER S� /`'�' �� �O� \ NATURE OF WORK �}(o�;L = /�-/ ], 5� �l- �-��� `�'�ovjS HEATING CONTRACTOR /�9L/i T �i �G /`f FUEL: GAS OIL � SOLAR SOLID CONDITIONING FORCED AIR Ii.W. ELEC. BASE. STEAM SYS'LEH I RADIANT SUPPL. A C ENT �� GHIMNEY. A "B" DIRECT VENT CON.BURNER CA;,CULATED HEAT LOSS SYSTEM BTU RATING '�-� MISC. INSP. ROUGH LN FINAL �ry Qj EST. COST `�-� , (� pgRMIT FEES /5; [� DATE PD (L REAIARKS