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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
09733
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,Flte &rchCil/ld'
(J',7/" f' 7 j)Y'-c-k ero
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK f/ -t'4i-/ -i J ;tI ~l.I/
.fk:,,(/'J7P-
,
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
'. Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR (;p f?cIJ,/'l iti'fq / CtJ'n-z;; i"" Y
~ Heat 1f9a AlC D Vent D Fuel/System 'fil? Heat Loss fI? 4fp
BTU'S 7~~
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
FEES: Valuation $ ft t-jv-eJ. 0-0
ISSUED BY ~ce--e- .
Permit Fee Paid $
Date
I
Q.t/ ~CJ-O JI
, 7/t~ ~r
Park Dedication $
Final/O.P. ) 0 .J~ -~~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
Rj(~ /~?
DATif
ADDRESS
TELEPHONE #
PERMIT No~&f7?3 APPL. DATE "7);p-/ ??
ADDRESS /7;; CJ. O/lclzan:! S r-
OWNE~. ~rry .J)eJ<'-eh
NATURE. OF WORK tJ r>a'1- ('h2 /II ~ cu Ib f?? €-
HEATING CONTRACTOR C#n~H )'Cit~/ U~I"V-
FUEL: @ OIL ELEC SOLAR SOLID
CONDITIONING~CED AIR. H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR CONDo
CHIMNEY: '.. tI A" . ~. . DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS Q-f' ~)? SYSTEM BTU RATING 7 ~ ~
MISC.
INSP. ROUGH IN FINAL
EST. COST 2 tft-'U~ C^QPERMIT FEES P. tf..
REMARKS