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~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
67~
37158
TYPE: BLDG D HTG rp ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
34?tJD Kdell~r' .~
J.- 411c1ff] a If /L V n/ /m/)t?c1 ~,,1p;q r ~ J, /p
PLAN NO.
,::] I !~'
OWNER
DESIGNER
USE/NATURE OF WORK tf .r.1J- ..D:
/V~W
,
T:J2~
-
oC/J c-e
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const. Occupancy Permit
q HEATING CONTRACTOR LeV'l t-~/ ~
k--. Heat ~ NC P Vent Of Fuel/System .IU- ~/
',t
~ t? I'" (//c .e.
Heat Lossfbr ~~ BTU'S ff;- ~r ?/UYj
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
I
/ /
FEES: Valuation $ ~ ~ Permit Fee Paid $ 1'1" oil{!)
ISSUED BY ~'. Date I}J-/ "7lj?:3
Park Dedication $
Final/O.P. 1'J-/<;}/93
I /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE '1~ ~;&
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
APPL. DATE /tI/Jf11fg
., ,
ADDRESS., ~DK<rJe-J/~r' J?J.
Ot"NER /..andmCipi Vn//t'h/ f d di".t-I'1e'rslt/p . "[II::.
NATURE OF WORK tl:..Y.I:;-(:... . DeKJ-j; C/ f2 R e{/~ J4# e tf/flce
,
HEATING CONTRACTOR C-l""~,Tvt-a I tJ.1cz ~l"'vt/n't:.e
F1!EL: @ OIL ~. SOLAR SOLID
CONDITIONING ORCED AIR H. W . ELEC.. BASE.
S;";JEM RADIANT SUPPL. 'l"Alc VENT
CHIMNEY: "A' "B" y9IRECT VENT CON. BURNER
CALCULATED HEAT LOSS ~ Pf.Ji SYSTEM BTU RATING Ii:f per Pia;;!
MISC.
INSP. ROUGH' IN FINAL I
EST. COST~~ 7..tl1J.. ~ PERMIT FE'Esllll. ~
REMARKS '/V-eed /~ Ph .t1!5
PERMIT NO.
STEAM