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CITY OF OSHKOSH N2 40725
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 03 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN . HEIGHT
ADDRESS / Y tr/ H/ h , e f f/C j` / PLAN NO.
OWNER Har Pe-/'e 1
DESIGNER °"'�c�I j�
USE /NATURE OF WORK t WC-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR re // '- II 7% 57 - / f m i. i
i . Heat ❑ A/C C ® Vent ❑ Fuel /System 0 e 1 to Heat Loss f P/ t S v BTU'S ? / i –
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 $ IP/ Y � � � Permit Fee Paid $ /7- a--e2 Park Dedication $
ISSUED BY d t/ Date 7/ i/9 �� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 'ff e Q/I /''6 7 � / / // 9 y
AG 'OWNER /DATL�
ADDRESS / �/ (/v ,�Q�
c�'l" 0
TELEPHONE #
APPL DATE-2/205 PERMIT NO. 4 7/
ADDRESS 0 2 / 4-6 %7
OWNER it-fa /'_ / OP /` e
NATURE OF WORK 4 /
HEATING CONTRACTOR re 11 )7-7 6T. lflet/grA7
FUEL: GAS OIL SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. c eA[C VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS )k/`SJ' SYSTEM BTU RATING
MI SC.
INSP. ROUGH IN FINAL /OM/ 9 Xy
EST. COST /Hy �/� Oo PERMIT FEES / ?'. o DATE PD?lit.Ggt1
REMARKS s