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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
09093
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS / tl 01"" /I- C/ r (/ C-? C V:"
OWNER V /t':-f( t' f"- D )'Tn); CJ r nd I
PLAN NO.
DESIGNER
fWd ~/C/
~,F. O)e5
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR T -c:=e /17 -;Z -r:PZ//1 e ~
t Heat D NC Lw Vent D Fuel/System ;::; I c: C V- Heat Loss F''''' t '-5' I
BTU'S
?-- ;~ ,/'P #?
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ '1~. cro Permit Fee Paid $
ISSUED BY ~ r ___ Date
/0. ~./
7/.J/?~
Park Dedication $
Final/O.P. g-/;l - '('I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
;? rJ,,,~~<rn,,
7 /d~g>
/ D
ADDRESS
TELEPHONE #
PERMIT NO. ~f'&? 3 APPL. DATE4f1r??
ADDRESS /)-o() !-fvt"p:;n Cr-
t) (/0 k I' P Y'a h ~ p'd r
NATURE. OF WORK {fd d 14--1 C-
HEATING CONTRACTOR T e -e-/a -2 e j/f Tn e r
~ 'SOLAR SOLID
OWNER
FUEL: GAS
I
OIL
CONDITIONING FORCED AIR H. W. ELEC. BASE STEAM
. SySTEM GRAVITY StJPPLEME:NTARY )<J\IR COND.
CHIMNEY: HAlt ItBIt DIRECT VENT CON. BtJRNER . .. '
CALCULATED HEAT LOSS By-I''' r SYSTEM BTU RATINGtJ.. !6-jz;7!.?
MISC.
INSP. ROUGH IN . FINAL I q'
EST. COST(;POt1, ~ERMIT FEES /V/. DA PD
REMARKS ./ .