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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10324
TYPE: BLDG 0 HTG i;1a ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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C,h e$" 1-e r Au def'L5' 0 r-}
PLAN NO.
ADDRESS
DESIGNER
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5: F (Ze:-;
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Cons~.
V HEATING CONTRACTOR {Ale:; !l9f
Heat 0 AlC ~ Vent 0 Fuel/System
-4
t~C-1 Heal
Loss
C'L. {(rT
BTU'S
Ol !-o Y]
ELECTRIC CONTRACTOR
.~
Electric Servo New 0 Change 0 Temp 0
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 $
ISSUED BY
/ 8~~ ~ Permit Fee Paid $
pe~ -- Date
/~ ~./
0J;/.??
Park Dedication $
Final/O. P. 9 - 26 ~8'~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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., S:' ~
, Af.-P!-
,. AGE T/OWNER
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OAT<
ADDRESS
TELEPHONE #
PERMIT NO. '/I/cJP~ APPL. DATE 'fj"/J?/ g:y
ADDRESS /t~ ~ ./r-/ckcfJr 7' <;;'i?"".
OWNER C, h e-;; t-e r Il- J1 de r-:::-n Y)
NATURE onORK ~cJ ~ C
HEATlt;!G CONTRACTOR ./..e 5" If-:~
FUEL: GAS OIL @ID SOLAR SOLID
'f
CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY ~IR CONDo
CHIMNEY: "A" tlB" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS J~ Ift'5;- SYSTEM BTU RATING ?- ~ YJ
MISC.
INSP. ROUGH IN FINAL 9;
EST. COST J rtlo-,::J~ v<e:J'ERMIT FEES J :7-.. DATE PD
REMARKS .