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N2 38456
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG lig ELEC ❑ PLBG El SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 113 13 .6d-4'
PLAN NO.
OWNER k V 5 C-t7
DESIGNER
USE /NATURE OF WORK Fi kV A C-. N g kJ 1-10 ril`
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 6 r,e CA.) ep j
g Heat [J A/C ❑ Vent ❑ Fuel /System At G Heat Loss / 4 BTU'S ✓ e 4"el`"'e
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT — WH _ Disp L WSoft _ CBasin
- Lay • _ Sh — DW DF San. Sewer
__WC — FDr SP Ur Storm Sewer
- Sink _ LTub _ Eject _ SS _ Water
Other
FEES: Valuation $ IOM _ Permit Fee Paid $ 2 l� <- Wt) Park Dedication $ ' /
ISSUED BY 99 Date 5/15799 Final /O.P. JO ., ' 9 fr 7
In the performance o this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE a' // 1 1
fr0
AGEN •WNER
DATE
ADDRESS R / ell
TELEPHONE #
APPL DATE/-24r/fl PERMIT NO. 9O 5
ADDRESS 3 ll.,?
OWNER RV 5
NATURE OF WORK /Js J »C»-C. Ne
HEATING CONTRACTOR i3 r eu/ e '1
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A[C VENT
CHIMNEY: "A" "B" (DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS ,16 {gi SYSTEM BTU RATING p O "
MISC.
INSP. ROUGH IN FINAL it, fi9q
EST. COST g-00-0.0 PERMIT FEES A0 DATE PDS /45/7y
REMARKS