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1 CITY OF OSHKOSH N °- 37536
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ;:u ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
•
ADDRESS / b / ? / /Lif` n 7'4g PLAN NO.
OWNER rnrJ 4 / 'C. � L°
DESIGNER
USE /NATURE OF WORK C� 4' c e �G r I24 GtiP ��–
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 11- i5 hPy i-
t Heat ca A/C ❑ Vent ❑ Fuel /System /1.6' . Heat Loss A 1G / ? BTU'S o v
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
t l
FEES: Valuation $ 1Wr: C Permit Fee Paid $ rte Park Dedication $
ISSUED BY Date /l // y/9 Final /O.P. i/0 /9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
11/P7/5
AGENT /OWNER DATE TE
ADDRESS
TELEPHONE #
APPL . DATEIG�1
ADDRESS -�L— "'PERMIT 140. 37 3�
Aar OWNER r.e.
NATURE OF WORK I ' , -� 4G� At Q c
HEATING CONTRACTOR (�je, e c-
FUEL: g � •
v OIL ELEC. SOLAR
CONDITIONING SOLID
:ORCED AIR H.W
SYSTEM ELEC. BASE.
RADIANT SUPPL. STEAM
CHIMNEY; "A' ABC VENT
CALCULATED HEAT LOSS 0
MISC. ?:DIRECT VENT CON.BURNER
MISC. ---� SYSTEM BTU
RATING
INSP. ROUGH IN
EST. COST FINAL AV
REMARKS PERMIT FEES
DATE PD / / V 9,