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CITY OF OSHKOSH N2
PERMIT - APPLICATION A!ND RECORD
07675
TYPE: BLDG D HTG ~ ELEC D PLBG D SlGN D ZONING
......... -....................... -- ---.. --- --............ --....... -.... --..
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
""",DESIGNER
USElNATURE OF WORK ~ I t2f.e- .GJ",/i -rrC& fJecif><i '"
5.E{?e5
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const;
HEATING CONTRACTOR pi Q I1lf't7 b? H-- ~
Heat1ZJ1 AlC D Vent D Fuel/System },.r~ . Heat Loss
I:l
t
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BTU'S
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ELECTRIC CONTRACTOR
f1
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 $ YO'c/, tJ-eJ
ISSUED BY ~ e
Permit Fee Paid $
Date
/
/ t!? C'-CJ v/
~pLfj?~
Park Dedication $
Final/O.P. (; -;ZJ'~ (f g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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LllrjK'P
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TELEPHONE #
ADDRESS
PERMIT NO,. 4{ 0'7& 7 ~ APPL. DATE f//;~/ J'jJ
ADDRESS It)).. H?CU~dy ,
OWNER 1../ ,. Y' J I / I~ 1/ 1 c-J;-.~ q-F7
NATURE - OF -WORK O?/-flac' e . 5i?a;; e /1 r~ TZ:-P'"
HEATING CONl'RACTOR pkkJ'f<?# _ ff-Jf
FUEL: @ OIL ELEC SOLAR SOLID
'.1 k
CONDITIONING~ORCEDAIR __ H,W. 'ELEC. BASE STEAM
SYSTEM GRAVITY - SUPPLEMENTARY AIRCOND.
CHUtNEY: - "A" "B"')O>IRECT VENT _ CON. BtJRNE~
CALCULATED HEAT LOSS ~ 'It' 5' V- __ _ SYSTEM BTtJ RATING,
MISC.
INSP. ROUGH IN
EST. COST 9(;ft>. o-(J
REMARKS
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