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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16752
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS I ?'/;j Jvf c Cu ,rely
OWNER T/i'V7 J?-e If; r
PLAN NO.
DESIGNER
~c1 FIe-
5-;=: f?z~~
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR ~e/4 - Z.e t1J-n -eP'"
t' Heat D Ale ~ Vent D ~uellsyste; . ;;freY Heat Loss Pit! \sr:r-
L Yj-~P7
BTU'S
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 ~ or::;
ISSUED BY. ..../
I
Permit Fee Paid $ ~~~. j
Date /-,/) ~ ~tf7.
Park Dedication $
Final/O.P. la 0/8. 8'1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
AGENT/OWNER
~/;m9
c#, TE (
SIGNATURE
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ADDRESS
TELEPHONE #
APPL. DATE Il- /Il// fY . PERMIT NO. It; .7);2-
AU'&ESs~u~",1 77)- lie Lv Y'dy
mmER ]I'r"YJ rP e- if" t
NATURE OF WORK n%! /1:/ C-
HEATING CONTRACTOR ve- e./,tz -- Z e j;/L -r n r" r
FUEL: GAS OIL @Z) SOLAR 'SOLID
CONDITIONING FORCED AIR H.W. ELEe. BASE. STEAM
SYSTEM RADIANT SUPPL. ')4(/ C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BUR~EjR
CALCULATED HEAT LOSS j::,-'>t;t '5v ' SYSTEMBTU RATING / ~ J7;' i7
.
MISC.
INSP. ROUGH IN FINAL' I
EST. COST~ltfb~. ~ PERMIT FEES J.?', cI-f/ DATE PD
REMARKS "7