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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
26781
TYPE:
BLDG D HTG lib ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
9/0 1/ VII 'fI rLJ Yo frJ t"J-
ft:( 1ft ~ I/-cK ~r~Q h
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
IJdb/ /fI c
sF
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
- l "'J'
Heat Loss 1:::-)P1 5" 1/
BTU'S ? . ~ ~ /"1-fc...
.g HEATING CONTRACTOR
l- . Heat D NC ~ Vent D Fuel/System
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
~
PLUMBING CONTRACTOR
~ _BT _WH _Disp
_Lav _Sh _DW
_WC _FDr _SP
_Sink _ L Tub _ Eject
Other
_ WSoft
_ CBasin
_DF
_ San. Sewer
_Ur
_ Storm Sewer
_ Water
_SS
FEES: Valuation $ / ~~ ~ C~
~
ISSUED BY
I
Permit Fee Paid $ ;'? ~ ~ y
Date / dJ-! :? 7,/9/
Park Dedication $
Final/O.P. J - ) LJ - q {)
In the performance of his work I agree to perform all work pursuant to rules governing the described construction.
/d-a I-ell
DATE
SIGNATURE
ADDRESS
TELEPHONE #
APPL. DATE II/llt/if/
, .
A&>>RESSc..H~'" .f/t' ;1(,1/1 'finyfr;!h d ~
OHNER fp 1/7 I:k./<.t!'r'n7ab
NATURE OF WORK Wd #I C-
HEATING CONTR^CTOR He( /' )c ~7 1
FUEL: GAS OIL ~ SOLAR
PERMIT NO.
#l~/
SOLID
CONDITIONING
SYSTEM
FORCED AIR
RADIANT
H.W. ELEC. BASE. STEAM
SUPPL. ~/C VENT
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULA'JED HEAT LOSS L:Pf"7V- SYSTEM BTU RATING ., k:P"7
MISC.
INSP. ROUGH IN
EST. COST /f"tt(J . t/(?
REMARKS
FINAL I J/#fIt?9:-.
PERMIT FEEs,p~ .~ DATE PD/;.I? 7/~/