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OSHKOSH
Lot-
Type ot Permit:
Address
PERMIT - APPLICATION AND RECORD
d'!3 CD. #'th >J-
Heating 0
Ward
Plumbing 0
CITY OF OSHKOSH
Owner 4yrel/
Pool 0
Zoning
Occupancy Permit
N~ 18181
Id. No.
Flood Plain
Permit Date-J-I,.IdY1/
Nature of Work
Block
Electrical 0
Sign 0
Subdivision
Wrecking 0 Fence 0
çc'é:.-
BUILDING Use
5'-"11/e /::ã vu/1ç {Ze<;
I ",
General Cont.
Foundation
Siding
Type of Construction
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Size:
-feet wide X
feet long
Square feet area
Main to Curb:
Main to Curb
Height:
Stories and Basement
above Grade
Width of Lot
No. of Rooms
Sewer Fees
I
Mason
Water Service
Bath Tub Floor Drain Urinal
Wash Basin - Garbage Disp. - S. Sink
Water Closet - Dish Washer - Catch Basin
Kit. Sink Laundry Mach. - S. Pump -
Water Heater - Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
Carpenter
Architect
I-----Í'
1
1
----Í'-'
Inspections -
Footing Foundation
~ I Electric service. R.I.
-[ Sewer Water Service
P FinaL_"¡ -,;}? - g S-
HEATING CONTRACTOR J ('" ~(C( - 7-- r'- t-¡ 'it e þ..
Fuel: Gas t¡<p Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air i7f' HW. 0 Elec. Base 0 Steam 0 Radiant 0
System High Eft. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" '00 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss I? Y;,"'517 Ý) I System BTU Rating / V'17,
"1
Estimated Cost .$I ~. 0'0 Fees Paid ;$ j t7'7!7 V Date
TO THE BUILDING I rECTOR: In accordance with Seclion 7-18 of Ihe Municipal Code of the City of Oshkosh, it is agreed that if work shall be
discontinued for a period ot30 days at anytime for any cause after excavation work is commenced, a solid barrier, wall, orwire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wallar wire fence will remain in position until removal is approved by the
Building Inspector.
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
Switches
Volts
Recep's
Amps
Circ's
(Signed)
Electrical Signs-
Address
By
Phone
Agent
Address
Phone
PERMIT NO. "'/71 i?' J
~43 .tV.
OImER I}fr~//
NATURE OF WORK &..epJ 0' /?2- ;:::::ú I" U <7 é e.
HEATING CONTRACTOR Tee/Ci' - 7't?t¿!þ ~
FUEL: (!jfiY OIL ELEC. ~ SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE.
SYSTEM SUPPL. Alc VENT
CHIMNEY: "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS F- (/'"5' 'f/nc; SYSTEM BTU RATING /C7:::fl ð-d-t!!9
mK. . T ,
INSP. ROUGH IN FINAL
EST. COSTIjJ?~- 0'£1 PERMIT FEES
REMARKS
ADDRESS
APPL, DATE /~/ ?:;
r: lh 5'~'
STEAM
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