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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
09958
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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N-I/1fl/ II!. 5?-~
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PLAN NO.
OWNER
DESIGNER
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5- f7 (j?e_~
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR j)al/ e 6-/az.e
~ Heat ~ Alc D Vent D Fuel/Sy~tem II/_V..
Heat Loss E:t / 5- T
BTU'S
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ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
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 $ ~~7J1# c/P
ISSUED BY ~IY~/
Permit Fee Paid $
Date
/
~. ~ V'
Z'/;t//f
Park Dedication $
Final/O.P. 9'- L? - xi
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~ .
. AGENT/OWNER
ADDRESS
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TELEPHONE #
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PERMIT NO.?fJt?~j~ APPL. DATE
ADDRESS 1/ ;,-? H-t: r I" / IJ > r-
OWNER JcJhk7 & FJAoi(1 L
NATURE ..OfWORl< f?fij2hc ro J=oj(f7/2:.c,o
HEATING CONTRACTOR. DC? r/ e... V- /a 2' e P
Fl$L: @) OIL ELEG SOLAR
q/C:/Yf
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SOLID
CONDITIONING FORCED. AIR ....@. ELEC. &ASE STEAM
SYS~M GRAVITY SUPPLEMENTARY AIR CONDo
cHIMNEY: . '@ liB" DIRECT vENT CON. BURNER
CALCULATED FlEAT .LOSS !?'/-f\ r SYSTEM &TU RATING/tt?ty/O
m~. '
INSP. ROUGH IN FINAL
EST. COSTltJz;rr:J. c/O PERl.nT FEES J.<7-
REMARKS . . "
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