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CITY OF OSHKOSH N° 23112
\�v PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTGV ELEC ❑ PLBG ❑ SIGN ❑ ZONING K FLOOD PLAIN HEIGHT-
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ADDRESS ��Q //�' xt PLAN NO.
OWNER
DESIGNER /--
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR i�0*76 His
Heat bg A/C ❑ Vent ❑ Fuel /System
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
WSoft
—BT
WH
Lav
Sh
WC
FDr
Sink
LTub
Other
Heat Loss xf BTU'S is h
Volts Amps
Circuits
Disp
WSoft
CBasin
DW
DF
San. Sewer
SP
Ur
Storm Sewer
— Eject
SS
_ Water
FEES: Valuation $ /ZV - O`er Permit Fee Paid $ / 9 4�� V4 Park Dedication $
ISSUED BY �^ Date y _q� Final /O.P. 4P/ 7/ FT
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
IN
SIGNATURE 14,3 V �
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
APPL . DATE �} PERMIT NO.
014NE R
NATURE OF WORK Ci /
HEATING CONTRACTOR CpvjZO „j Toyer`
FUEL: GAS OIL E E SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. /C VENT
CHIMNEY: "A” "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS )0615 -SYSTEM J-' BTU RATING #�L
MISC.
INSP. ROUGH IN FINAL
/,17
EST. COST OV- Crd PERMIT FEES 9 6;i� DATE PD
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