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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
14458
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ADDRESS Ù¿ ¡:¡-
17 h'll;¿; ~
USE/NATURE OF WORK i~ / Or:e.
OWNER
~v /f/h
YCOH<4 (.(/£'1" 1-J,
/ /
PLAN NO,
DESIGNER
H/r/~dL€-
7- F (f2¿<3
BUILDING CONTRACTOR
Size
Foundation
Sq, Ft
# Rooms
# Stories
Height
Occupancy Permit
Class of Const
t- HEATING CONTRACTOR fA / -'" -? /Æf
Heat~ AlC 0 Vent 0 Fuel/System
II¡;-
Á/ ~
Heat Loss
~¡'7r BTU'S
ff"Þ é/7'¿c/
./
ELECTRIC CONTRACTOR
Electric Serv-
New 0 Change 0 Temp 0
Type- Volts- Amps-
Fixtures
Switches
Receptacles
CIrcuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
- CBasin
- San, Sewer
_Lav
_WC
_FDr
_SP
_Ur
- Storm Sewer
_Sink
Other
_LTub
_Eject
_SS
_Water
ISSUED BY
!
'd.- t:'1:?-Ø , Pt:l Permit Fee Paid $ j;l tÎ- p-¡:::J I
v ~ .:- Date ~j¿ x;I £;7
Park Dedication $
Final/OP- "8 ~ leg ..I?; o¡
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction-
SIGNATURE<~(J11 7/Je;(f:'l
AGENT/OWNER D E
ADDRESS
TELEPHONE #
/£-/15?! APPL. DATE t1Í9Ú;;
ADDRESS it,- tv If'lh t1 t/e
OtVNER P),yl<Ç";Y£lvnff-m'l'h
::::G o~O=CT~;::;~ /~r ~;;-
FUEL: Y OIL ELEC. SOLAR SOLID
PER.'1IT NO.
/ /
//
CONDITIONING
SYSTEM
CHIMNEY:
CALCULATED REAT LOSS
MISC.
INSP. ROUGH IN
EST. COST~_V"?
REMARKS -
R.W.
SUPPL.-
ELEC. BASE. STEAL'!
AIC VENT
"B"
,
RECT VENI CON. BURNER
SYSTEM BTU RATING ?,p- /M'-C7
/
FINAL
PERMIT FEES ;JJ,-t/'-CJ
DATE PD