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~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
01215
TYPE: BLDG 0 HTG @ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
.. --.. --.. --..... ---.......-.... ---.. ---.. --....-....-...........-.. --- --.. --.. --.....-...... --.... --..-
OWNER
/9/ / .5. &lL? k tbtf7t& cI
.
tJ-a h ~f'-1 ~ (1, v :5c~h
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
H-e.4'T; h 7 /oj etv j# ~ e-
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
,rlJATING CONTRACTOR JJIn -e f' /C<:7 /~ If-Yy .
~ Heat ~ NC 0 Vent 0 Fuel/System Iv!- t;;
Heat Loss #, ';JJ1Pi/yP'-;/ BTU'S ~~J~
('
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
ISSUED BY
/&~. Vb?
, c;i:-12 [i'.
Permit Fee Paid $
Date
J
r /
l-/" t7-t!P
/1~/a?
/
Park Dedication $"
Final/O.P. /0 -;;. 7 - tT~
FEES: Valuation $
~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~7r?
DAT.e
.71)-~o 70
ADDRESS
TELEPHONE #
~ /Nr. APPL. DAT! ;jtj,pt;
ADDRESS /9/1 <;~ ~/?k(J.p~q rJld
OtfflER 0(21'f r J - R u -) ~
NAtuae OF WORK ,f..} ~1k+-/flCF AI-('lV ~/?7~
/. ~
HEATING CONTRACTOR . A- I.--v1 -e f't ~' LzJ. ~"J .1fl'rJ
FUEL: A OIL ELE:C. SOLAR
.
-
PElt."iIT NO.
, ~
SOLID
RCED AIR H.W. ELEC. BASE.
RADIANT SUPPL. Ale VENT
CHIMNEY: .. "A" '. DIRECT VENt CON . BURNER
CALCTJT..ATED HEAt LOSS Qs- ~h,../,...J SYSTEM Bttr RATING ~(J: ~
MISC.
INSP. RQUGH IN FINAL IP
EST. COST Yh 6' rt?, ~ PERMIT. FEES 5/& r
REMARKS /
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STEM!
DATE PO