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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
09967
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
/??7C
I
Paul
,
~rcjord )ahe
Ph/l~fJ5
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
t2c1d /f-/ L
f'r(Pes-
." -
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR r/Q~/f'UP1
Heat 0 AlC ~ Vent 0 Fuel/System
H- 1-'1-
r I ~ ev- Heat Loss r -+J' 5 r
BTU'S
'3v ~ ij-;~
./ It:.
~
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: Valuation $ ?,f)< cro
ISSUED BY ~e
Permit Fee Paid $
Date
f
It, p-o V
>?j;.~/?~
Park Dedication $
Final/O.P. q - J q- ?J)/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J. !( ( J-t,.. <
err- ~
ADDRESS / 6 0)' Sf;> < /YI ~ (' '-1
~;f-/??
d.3~~ alf<6
TELEPHONE #
PERMIT NO. +1'6 ??b 7 APPL. DATE if-t// ~
:/ flle;. 1'<4h~hdrF~d /0 /? ~~
if? ~b;! .R b /.l/(/J 5'
NATURE OF WORK ' it/7 biG-
HEATING CONTRACTOR P fa II/;Y /1. //
@) SOLAR
ADDRESS
OWNER
f/-;ry
./
FUEL:
GAS
OIL
SOLID
CONDITIONING FORCED AIR. H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ~AIRCOND.
CHIMNEY:' "A" "B" . DIRECT VENT CON.. BURNER. .
CALCULATED HEAT LOSS. {.:' Y; /5 t- SYSTEM BTU RATING 1)- ~. 'fl:r ~J
MISC. '
INSP. ROUGH IN FINAL
EST. COS>{J .7J-5""~ t"-CPERMIT FEESiS/tf, c~c DATE PD
REMARKS T