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CITY OF OSHKOSH N!
PERMIT - APPLICATION AND RECORD
03994
TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
IJ--(} I () 1/-/ c ko r V fa n e-'
. /
'=-&}C c/ fie 5' Co 1?5 r
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR (& f1 tib}? 1t::J 't-a I f--t!' Jr} ...;;;, fA y-
\; HeatW AlC ~Vent 0 Fuel/System ,AI -U-. Heat LOSS.f):)' .ltfp
BTU'S / ~ (Jt:It:? y... J/ !el;
4/t.
.~
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSott _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES, Val"at;on $ !{/(..e:rt2
ISSUED BY --- tl .
Permit Fee Paid $
Date
~b f C/-t? /
b/ft/r7
Park Dedication $
Final/O.P. q/i1 h/'f
~ a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ()~ ~
. AG""ow,""
ADDRESS
1~/1-/?7
/ DAT~ '
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TELEPHONE #
PERMIT NO. J!r cP'? '1f~ APPL. DATE" ._~/,f'-7
ADDRESS j2CJ I" If /' c)Ct:f v u 5rr- '
I ,I
OWNER p:.c; .)C {aJ n S' <it- '
NATURE OF WORK
HEATING CONTRACTOR
FUEL:
H.W.
SUPPL
ElEC. BASE. ST€AM
C VENT
CIUMNEY: HA" '"
CAI..CULATED HEAT LOSS~ 1Jpp,
MISC.
INSP. ROUCH 1N
EST. COST 1/;;' t1CJ-. t7'(:?
REMARI<S