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~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18248
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
/7'17 O/'c-ho.J??d Cr/
C~r/17 p-ec>k-rr
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
1-1 't?a 1-0/- ~/c~ IV ~U/ jb /7'1 -e-
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
t} HEATING CONTRACTOR CL)l7d~YJ /b fal
[ Heat ~ AlC [}dl Vent D Fuel/System ;rJ ~
{r:rl11 ~ ~ y- . Ln (~
Heat Loss N-;r )~
BTU'S pCP, I'"~~
/
1- p- /'t:71? /1-:/C_
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ 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 _ L Tub _ Eject _SS _ Water
Other
,
FEES: Valuation $ I;? ~ ~ 0-0 Permit Fee Paid $ ///J,1/"-l& ,//
ISSUED BY ---r-e~ . Date # 9t!fJ/ .tp d
Park Dedication $
Final/O.P. .5-.3 } - q 0
In the performance of this work I agree to perform all work pursuanc ,0 rules governing the described construction.
SIGNATURE
~0~~
~T!OWNER
~~A~/ q~
ADDRESS
TELEPHONE #
~PPL DATE ~jl ?c;/4' t? . . PERMIT MO. I ff',J i Y '.
A~DRE!?;; /7L/7 CJ rc-ha F'd c r-,
OWNER Ua rr C/ 0 Cu-u... 'f'i--
/ ' .
NATURE OF WORK y- JJ-1 C-
HEATING CONTRACTOR c:;
FUEL: @ OIL ~ SOLAR SOLlD
CONDITIONING ~ORCED AIR
SYSTEM RADIANT
H.W.
SUPPL.
ELEC. BASE.
C
STEAM
CHIMNEY: "A" "
CALCULATED HEAT LOSS ~ ~jP
MISC.
INSP. ROUGH IN FtNAL' t 'lIP
EST. COST ~)o-c.P.- u-c PERMIT FEES t'fi . ~
REMARKS