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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18858
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
/;Z .Ii' 7 I/a r 1119L/ 1fJ--v'('--,
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U/ -e- t1 d y sa c;' ~ I'U -c' ,''5' J-~ r
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PLAN NO.
ADDRESS
DESIGNER
USElNATURE OF WORK ~ jd.C e
FVrMOC~
,
9 j=; ~~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR l{/-.t':J /"'7 )f..~
l fieat flP AlC D Veot D Fuel/System /11--
Heat Loss F'? I '~ I
BTU'S
~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, Valuat;oo ~. ~
ISSUED BY
Permit Fee Paid $
Date
;7. 7 ' C/7:7 ,//
u/lI/ft:J
. ,
Park Dedication $
Final/O.P. 1-1 - 9tJ
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
t;P~r
4 AGENT/OWNER
1,,/11/9&:7
, DATE
ADDRESS
TELEPHONE #
APPL. DATE. bill! 'leJ PERMIT MO. /ft.rX'"
1~ "- J.f
AfJIJ'B.'ESSc...if) -q .tfCt f" n e if IJv e
O\~NER_ Lej~ i/l J~ _C;.~f ~ Pn v>/<" t~ r
NATURE OF WORK. O:<.f~ a G ~ P C/ r n a; 1":- ~--
HEATI~G CONTRACTOR=l-l./-<!R-'5 / v:;?)f 11--"7
FUEL: ~ OIL ELEC. SOLAR SOLID
CONDITIONING ~RCED AIR
SYSTEM RADIANT
H.W.
SUPPL.
ELEC. BASE. STEAM
Alc VENT
CHIMNEY: "B" .. IRECT VENT CON. BURNER
CALCULATED HEAT LOSS G '{:; (~ T SYSTEM BTU RATING btJJ# ~
MISC. ,p
INSP. ROUGH. IN . FINAL7,.h J ftP
EST. COST;-,J- or:; . c/'r9 PERMIT FEES P 7" CJ-t?
REMARKS
DATE PDV/tl ) qeP__
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