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~ ¡§"'ø-?- N!f - 46911 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG ær ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS 1 ff'ff) t:f,'r:J~:(7"Y h qe: &f-- c. '1.' r- c; ft. Vec./ ('" ý r;?-[ C/P-, r PLAN NO, OWNER DESIGNER USE/NATURE OF WORK # v,-!1--.C- . !Ý è? r;./ tit? F-'n e. BUILDING CONTRACTOR Size Sq, Ft # Rooms # Stories Height Occupancy Permit Foundation Class of Canst HEATING CONTRACTOR fi /- rl . t:- Heat tJ NC 12'3 Vent 0 Fuel/System It (1. Heat Loss rJ;; fity BTU'S /,7Cl¡ ()trf!3 <:fJ ,7/'ð '-7 If/ c- ELECTRIC CONTRACTOR Electric Serv, New 0 Change 0 Temp 0 Type - Volts - Amps - Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _DiSp _WSoft - CBasin _DW _DF - San, Sewer _SP _Ur - Storm Sewer - Eject _SS _Water _Lav _WC _FDr _LTub _Sink Other FEES: Valuation $ ISSUED BY í ?;:c-. crø Permit Fee Paid $ :; Z tY-O / ~~ Date '1/it/9) Park Dedication $ FinaVO,P, In the performance of this work I agree to perform all work pursuant to rules governing the described construction, SIGNATURE "+rL ~7V\1 ~ -/ AGENT/OWNER $} 4¡,(:¡' , ADDRESS TELEPHONE. AP!'T. DATE íf/¡r95 PERMIT ¡fO. ADDRESS 11'10 #/ckurv' Á4Hiii . , OWNER fl. j) e 1/ e r pnCU1 YI NATURE OF ¡JaR!< -fj.V.R. G. AI-e<v døH1 ~ HEATING CONTRACTOR Ii- ç H. FUEL: @ OIL @J' 'i~ ?II FtJ¡e CF fÙ- s- SOLAR SOLID CONDITIONING SYSTEM FORCED AIR RADIANT H.W. SUPPL. ELEC. BASE. STEAM CHIMNEY: "A" "B" )R>IRECT VENT CON. BURNER CALCULATED HEAT LOSS ~ bpy SYSTEM BTU RATINGf.JC ~ MISC. C¡¡:. % '/c. INSP. ROUGH IN FINAL EST. COST?~, ch:7 PERMIT FEES 37. Ot:i' REMARKS DATE PD 11 P-Y/'lf ----------------------------