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~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
23430
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
17t~ )fVI1 Rrf 6/rnr;
G-a ~~r V- -y-. R (/ 5cl,
PLAN NO.
OWNER
DESIGNER
tJdIj
J&-Ie-
5- I; tf?e5'
/'
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
<?' HEATING CONTRACTOR [3 Y' e LV t'r -J17:Y-
c;: Heat D AlC f51 Vent D Fuel/System
Heat Loss ~Y/~T
BTU'S 1 717 /?
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
Permit Fee Paid $
Date
~P7?/
~ I;~/?/
Park Dedication $
FEES: Valuation ~
ISSUED BY
Final/O.P.
(g /71 9 I
,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~~ ~ -----
0:::--. AGENT/OWNER
ADDRESS ~~
~by~/
/ DATE. "
l8a/' ~ 't-
TELEPHONE #
APPL DATE s;h.J-,/ 91 PE~r;!IT ~p. .p- g 'I) ~
ADDRESS._ l7L,.1f'"" I/-vn 'f-eJ/S 6/ehn
.
OWNER &a b~ r I cr 12 V '5" c h
NATURE OF iVORK t1cIbf If/"e-
HEATING CONTRACTOR & r~-cr
FUEL: GAS OIL ~
f#J
SOLAR
SOLID
CONDITIONING
SYSTEH
FORCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE. STEAM
C VENT
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT ;'1OSS ~)IJ /$ V SYSTEM BTU RATING ~ Tz; P1
MISC.
INSP. ROUGH IN
EST. COST / Y,J"'O. &^& PERMIT
REMARKS