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~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
01013
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
/9/ t)
I
D..e P1l5
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{/Ir:r,t.7T
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
;/ z' Cl 'fIn / )It' u/ f/tP /?7 e --
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat ~ AlC D Vent D Fuel/System
Tee/e;- ;Z ~.t'7Th &/""'
Heat Loss /l:f JJ;7/?
BTU'S
.,~~
"
"
ELECTRIC CONTRACTOR
\
Electric Servo
New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink'
Other
_ Eject
_SS
_ Water
/
",/
FEES, ValuaUon $ ~~ 00
ISSUED BY . ..:>
Permit Fee Paid $
Date
Q. L7. c.rO
&# &1?-1j tf'&
Park Dedication $
Final/O.P. q - S - ~~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~. .. 11~~, glpdf"~
AGENT/OWNER / DA;(E
ADDRESS C
TElEPHONE #
i:J;. /2
PERMIT NO. (J) I tl/ -) A APPL. DATE
ADDRESS /9/ ~. //1/ Ai a /d '5" p-.
OtJNER 1/ r t" e-), r-
(~~lrt
NA1'URE OF WORK
"
HEArING CONTRACtOR
FUEL: riifJJ OIL SOLID
CONDITIONING ~RCED AIR H.W. EUC. BASE.
SYSTEM RADIANT SUPPL. Ale VENT
CHIMNEY: "A" " DIREC'; VENT CON. BuaNgR
CALCULATED HEAT LOSS IJ.i. 1Ir{7/,pv-e~~ SYSTEM BTtJ RA'1'tNG ~ ~
MISC.
INSP. ROUGH IN . .. FINAL (?
EST. COST ~~. 07? PERMIT FEESI>' ~Io-t/))
REMARKS . ,.
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