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C41) CITY OF OSHKOSH N ° - 39579
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS % / /f^ 6 -4', tel PLAN NO.
OWNER X 104 1c- (Gti ci.j
DESIGNER
USE /NATURE OF WORK I$ t' JLC- IV € Gt/ IA-Z -7 --P.---
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 13 r `e w e- h
r € Heat 4) A/C ❑ Vent ❑ Fuel /System /tic c r Heat Loss #5 /2 BTU'S _ 5 &'U
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 $ i • Ue G�
Permit Fee Paid $ �9 � �`/� Park Dedication $ A
ISSUED BY Date Final /O.P. - /
In the performance • this work I agr e to perform all work pursuant to rules governing the described construction.
SIGNATURE " 4 �/ /iy
AG T /OWNER ,, - DATE
ADDRESS
TELEPHONE #
APPT. DATE � / /.49 l V PERMIT 110. 7/ ✓ 29
ADDRESS ?JJ
OWNER aa4 -,"• ` 9f j 'PVS C-4
NA'i"JRE OF WORK Mk C. Al,e w
HEATING CONTRACTOR 13 Y` e[tJ R N
FUEL: dir OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" SeaIRECT VENT CON.BURNER
CALCULATED HEAT LOSS - � SYSTEM BTU RATING 5 UDC
MISC.
INSP. ROUGH IN FINAL kJ /My
EST. COST /lOm . ow PERMIT FEES p.o C DATE PD 09
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