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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
00577
TYPE: BLDG D HTG f$J ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
;2-& 0,"- ,TO cK5t?PJ
JCJh 17 fJr f5
PLAN NO.
OWNER
DESIGNER
USE/NATURE OFWORK
fJ y.n- ^ c
l{ -t<> 5" '/,
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR Cf? Yl "fral /I ea'f-/hf -) ~ rt//c e
g Meat'~ AlC ~ Vent D Fuel/System ----L1.J~ Heat Loss-/J:1l1pfNV<.ciJTU's
I ~ 0tH7'l-
0- T;!:J n IJ/ c-
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' ValuaUon $~ i7'eJ
ISSUED BY - ...7~
Permit Fee Paid $
Date
/
57) ~ err) (//
7//7/?t
I .
Park Dedication $
Final/O.P. 9 Ii s li/&
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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///7 /~t
/ DATE' /
SIGNATURE
AGENT/OWNER
ADDRESS
TELEPHONE #
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PERMIT NO. ({)O~7 7 APPL. DATE 1/%/7<'
ADDRESS p.(;C r J-'CU:/< ::;~17 ;)/1
OWNERJ r;) h h l:J...r f-)
NATURE OF WORK ;J-f/lt-r C. i5V/4?'r7! /lt5IA pL/~,/ ~
H.EATING CONTRACTOR {' ~/4 'f ra / #>7 Se.pp /c-e- f fti(ffi'i
R-UEL: @ OIL ELEC SOLAR SOLID ~.
'.
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ytdR CONDo
CHIMNEY: "A" liB" (<DIRECT VENT CON. BURNER
CALCULATED HEAT LOSSlt3- if41~tJ t"0!.3YSTEM BTU RATINGlf1~cr-
MISC. .
INSP. ROUGH IN FINAL ~
:~Ri~ST~-r~~E~~;I~kP'~ DATE PD7//7/Y't/7