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N2 3
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG yb ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS % / $ 0 e04
PLAN NO.
OWNER RP,C11
DESIGNER
USE /NATURE OF WORK �1<- # ect, klopki e-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR O r e C.rJe f' 17'
Heat ly A/C Vent Fu < 69
❑ ❑ System /� Heat Loss 45 Pi), BTU'S �� �/`�)
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT _ WH _ Disp I WSoft _ CBasin
Lav — Sh — DW — DF ._ San. Sewer
— WC . — FDr _ SP Ur _. Storm Sewer
— Sink _ LTub _ Eject _ SS ._ Water
Other
J
FEES: Valuation $ at - Cif' Permit Fee Paid $ � .S 4t0 Park Dedication $
ISSUED BY �— C e ' Date 3 //.lam49 Final /O.P. 416 1• 91
In the performance of this work I ag e to perform all work pursuant to rules governing the described construction.
f /� -
SIGNATURE o � iI - / �'
AG T /OWNER /
DATE
ADDRESS A
. TELEPHONE #
APPIJ DA iqfq1 PERMIT NO. F
ADDRESS rte -% * — g
OWNER R U SGA
KATURE OF WORK V f -c- L O u1 h(97fri aO
HEATING CONTRACTOR I9 r'eul e#1 a-2Y
FUEL: IL OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR N.W. ELEC. BASE. STEAM
SYSTEM [ RADIANT SUPPL. A`C VENT
CHIMNEY: "A" "B" eDIRECT VENT CON. BURNER
CALCULATED HEAT LOSS lit" r SYSTEM BTU RATING 57"J 066 e
MISC.
INSP. ROUGH IN FINAL
EST. COST r ,2oro . c. PERMIT FEES , A DATE PD2 / /3" /9y
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