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CITY OF OSHKOSH .'v-9Y.?
-..i.,,, PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLCOD PLAIN HEIGHT
ADDRESS U q
L. C'a (/ ® 4 V. PLAN NO
OWNER L^- . 13 )4 g s l/? C�.®NJt 8
DESIGNER /
USE NATURE OF WORK � ' / s "I A, - A. s l eli
BUILDING CONTRACTOR
Size Sq. FL # Rooms # Storios Height
Foundation Class of Const. Cccupancy Permit
HEATING CONTRACTOR . 7 y,Th ter'
III �
Heat (D A/C ❑ Vent ❑ FueUSystem Heat Loss /3 BTU'S 14.1 D Y' Z 7 ,..
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
— ST — WH — Disp — WSoft — CBasin
— Lay — Sh — DW _OF _ San. Sewer
_WC — FDr — SP — Ur — Storm Sewer
— Sink _ LTub — Eject _SS — Water
Other
FEES: Valuation $ fl °L-47 °L-47 � � - Permit Fee Paid $ � e Park Dedication $
ISSUED BY * "- ` Date r/n 7 r6 Finat/O.P. q /i /%
In the performance of this work I agree to perform ail work pursuant to rules governing the described construction.
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SIGNATURE 9 )/1/ 7 /
OAT
AGENT/OWNER � OAT E
ADDRESS
TELEPHONE 0
PERMIT NO. '`Q ! APPL. DATE 47.4
ADDRESS /la 9 ' GvG7( c700
r
OWNER ,I 4q/G i5/ /I? qQ' ,
NATURE OF WORK ile/ C . e icIfivi 'e cs (
HEATING CONTRACTOR Tema -2 i E;k-ITh lg/
FUEL: OIL ELEC. SOLAR SOLID
CONDITIONING \ARCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: "A" "B" CT VENT CON. BURNER
CALCULATED HEAT LOSS / 5y SYSTEM BTU RATIN05G,r.
MISC.
INSP. ROUGH IN FINAL j/��
EST. COST /4 or , of, PERMIT FEESI d ae DATE PD
REMARKS