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1111
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
08612
TYPE: BLDG 0 HTG TiP ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
/77)' CJ/chartd ct.
}::f\ e h e- L~/o/ j I
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
Mol ~/ C-
"
Do 0 }-e~
I
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR CIfJ 11 j(PJ-1 ~{- &2/ (brn';;)'1 y-
Heat 0 A/C~Vent 0 Fuel/System fFJec:r- Heat LOSSP/;-\t
BTU'S
!).. J-CJ PI
-
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES, valuat"'~'1:t. t.- v-t!J
ISSUED BY
Permit Fee Paid $
Date
Park Dedication $
Final/O.P. 7 -'7 -g-~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE3~ll WtNJ-~
AGENT/OWNER
?/9/??
O,(i-E .
ADDRESS
TELEPHONE #
PERMIT NO. r1gU/?- APPL. DATE 6/;.1 ~?
ADD~SS /77 r cJJf1chopd or
OWNER +f\'f?- V1 ~ luo /d 1-
NATURE QF. WORK. 'Jar)oI /J-!(
HEATiNG CONTRACTOR ~ IJ l4~)(J VJ r c< r-a I ~C? ~ -('.& r C:;-
FUEL: GAS OIL ~ ~ SOLAR SOLID
CONDITIONING FORCED AIR H.W . EtEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ';7tfiR COND.
CHIMNEy: "A" "B" DIRECT VENT CON. BURNER
CALCULATl!:D HEAT I,.OSS f:''((r5'T' SYSTEM BTU RATING (;J... ~n
MISC.
INSP. ROUGH IN FINAL
EST. COST2t;3~--e? PERMIT tEES ). ~DATE PDt,
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