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CITY OF OSHKOSH N ° - 44882
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 171 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS `Q 1101 / La9/ // A PLAN NO.
OWNER L Z ) fri PO - 1 e r
DESIGNER yy JJ��f
USE/NATURE OF WORK A G( C-- -
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR tO ley
Heat ❑ A/C IF Vent ❑ Fuel /System ea Heat Loss / 5 r BTU'S / vj
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 $ /SW'. 0,r, Permit Fee Paid $ (-)1-1°
Park Dedication $
ISSUED BY Date , /�0 Final /O.P. % ' ( /5
In the performan. - .1 this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ---
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL DATE C/F11 5-- PERMIT NO. Y'f
ADDRESS 11 fj'td y i?UJ( Q
OWNER )?n i-
NATURE OF WORK /
HEATING CONTRACTOR Lie'
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. VENT STEAM
SYSTEM RADIANT SUPPL. j� /C
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS Flv1`S.T- SYSTEM BTU RATING j.h G
MISC.
INSP. ROUGH IN FINAL / /i /fr _.
EST. COST ; gLY1. GAO PERMIT FEES l 3. vhP DATE PD 57V
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