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CITY OF OSHKOSH
N 40077
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 --Tfri 440 PLAN NO.
OWNER «-►► Ai 6 VU '2
DESIGNER � n /7`"L
USE /NATURE OF WORK gad d G / `yvi y= 42-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR r'i° GL 171 5 ?; 7 7' 710 L
t Heat ❑ A/C [ 7 Vent ❑ Fuel /System rk-vim Heat Loss /- 1-4 1 1 // -7- BTU'S 16171 *A—
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ 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 _ LTub _ Eject _ SS _ Water
Other
FEES: Valuation $ / J - r'`e" Permit Fee Paid $O. 4A-o ^' Park Dedication $
ISSUED BY Date 4 / / /f Final /O.P. 1'/a - 9"/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4 ,ee-
M �jr /OWNER / DATE
ADDRESS I✓ f _/
TELEPHONE #
APPL DATE /� PERMIT NO. 1 1' 9°
ADDRBOS
OWNER l�'R� JT'Yl
NATURE OF WORK /G
HEATING CONTRACTOR re i Th 5l. "rcu (p _
FUEL: GAS OIL' SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. VENT STEAM
SYSTEM RADIANT SUPPL.!C
CHIMNEY: "A" "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 450< SYSTEM BTU RATING 0 ) #, WIC -
MISC.
INSP. ROUGH IN FINAL `7 J/
f // 9`
EST. COST / f f 75'= oD PERMIT FEES "LP ,c...440 DATE PD c,�/�G%/'
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