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" CITY OF OSHKOSH N~
PERMIT"- APPLICATION AND RECORD
05233
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
/!J.-J r IJvr/7;7 C)-..
.Dr, ('/2ro! {t/r)5L7/7
PLAN NO.
OWNER
DESIGNER
'fio!~ JrJ L
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Const.
H.E~TING CONTRACTOR -re 8/0 - :Un JI? -(?F?
Ii Heat D NC?D Vent D Fuel/System
-- l r
Heat Loss E Y-I 5"
BTU'S f)- 7?? /J
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps__
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_Sink
_FDr
_ L Tub
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WH
_Sh
_Disp
_Lav
_ San. Sewer
_WC
_Ur
_ Storm Sewer
FEES, Valuation ~. ~
ISSUED BY '" ,-t.
Permit Fee Paid $
Date
_ SS _ Water
/
/
;(, # v Pa" Dedication $
- /;/,/ r 7 Final/O.P. I Do I ~ - g> 7
_ Eject
Other
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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---.
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~hJ Jf?
DATE
ADDRESS
TELEPHONE #
PERMIT NO. .,..r O~7 /? 3
ADDRESS J ? 117- fJ V I" c:P 1:1 a-.
OWNER----1) t. ' rO/'t:7/ t:Of/'I'L(Y?
W.';:;/C
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~ . SOLAR 'SOLID
APPL. DATh
~J?/J~7
NATURE OF WORK
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HEATING CONTRACTOR
FC:'::": GAS OIL
,.
CONDITIONING FORCED AIR H.W. ELEC. ,BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ^fAIR CONI:>.
CHIMNEY: ItAIt "Bit DIRECT VENT CqN. BURNER, '
CALCULATED HEAT LOSS: E:SC/~ / ' SYSTEM BTU RATING,? 'l"o.n
MISC.
INSP. ROUGH IN , FINAL
EST. COST / ~. ro PERMIT FEES
REMARKS