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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
09434
TYPE: BLDG D HTG DO ELEC 0 PLBG 0 SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
J~'lc fit/NIp? ~ ~
Hlvh~-e/~ P/~+ch-eY'
PLAN NO.
ADDRESS
DESIGNER
McJ
~/l_
5~F: (f!es-
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR Ht2 r .K ~~
Heat 0 AlC ~ Vent 0 Fuel/System fi l-e~
Heat Loss
j?y..ll~
BTU'S ,:L t-7?:7~ iJ!e-
t
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_Sink
Other
_FDr
_LTub
_Disp
-----.: DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WH
_Sh
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_ Water
_ Eject
_SS
FEES: Valuation $ I ~. t/--O
ISSUED BY ~~...
Permit Fee Paid $
Date
/ P-::;? Y
Park Dedication $
Final/O.P. )( -J~-~?(
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
6?J-~~
AGENT/OWNER
7j'J-6J??
DA'l'E
ADDRESS 3 70 S
l-J, LJ <2- '-' k <7'__ U A V <2-
.;z -3 5 -(.5 /'0
TELEPHONE #
PERMIT NO..ff 6'9Y? ~ APPL. DATE .~ ? ?5"
ADDRESS / J~CJ . #l/r~'7 e-r-
OWNER H/~ht?e/ i;::lrO~i6Jz ~p?
NATURE .OFWORK Mctf ./f-/ C-
HEATING. CONTRACTOR Ala r .t If ~
FUEL: GAS OIL ~ SOLAR SOLID
I
CONDITIONING FORCED AIR H. W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ,~IR CONDo
"
CHIMNEY: "A" liB" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ~ \{Jt ~ V- SYSTEM I BTU RATIl-lG.. ~ ~ h:J frJ
MISC. '
INSP. ROUGH IN
EST. COST~f:7~. ~ERMIT
REMARKS
I.