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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21785
TYPE: BLDG D HTG [)g ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
,19/0 IkrJ1I{>(!J~ "5'?~
11.e/ t/ / 'Y1 fL J In r'-e r
PLAN NO.
OWNER
DESIGNER
I-L 6
USE/NATURE OF WORK I r v"11-. ·
/J-ew ~.p{lce 'I- Luar-e-i2~~'se
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR LV? fo-n1 II- ~ Y-jh.f
4:, Heat ip AlC D Vent ~ Fuel/System ,4 a# Heat Loss b "t-,O
. P <;okrt7 If fC~ (il2, /15"} CJ-n? ~
ELECT,BIC CONTRACTOR
BTU'S Id .?~ t1TH?
, ~tY~,.,
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: Valuation $ 9~9? ,Or:?
ISSUED BY ~
DD (/ } It: F-~e>.-
Permit Fee Paid $ ~. c;:;;>
Date /?-/ 7 / tj' e:>
Park Dedication $
Final/O.P. I,. 2 ~1 ~CZ/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
aJ?~~
AGENT/OWNER
ADDRESS ..?a <,0 ~ :J7
SIGNATURE
/?-/7/~~
DlTE
~3y7~5
TELEPHONE #
APPL DATE 7/ 11l/ qtJ - PERMIT NO. -.1-1 t <6 ~
ADDRESS /9/ tJ. fkrrl'5"t:J/'1 $'r
OWNER r1 V/Q/ / I/} /L /1 'h f' J!! r
NATuRE OF WORK H'Y.jl- c.-. AI (:r"v ~"'f7 j tJ,g)U./ V flAU'.",J.v".d"-
HEATING CONTRACTOR CC/5'tC'Vt/i rJ eel- JU9 . .
FUEL: (!f!i) OIL ~ SOLAR SOLID
CONDITIONING RCED AIR H. W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. ' C T
CHIMNEY: "A"
CALCULATED HEAT LOSS
MISC.
INSP. ROUGH IN
EST. COST qt{ flJe 00
REMARKS