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/� CITY OF OSHKOSH N°- 47681
`' PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT
ADDRESS � < �/10 5 D�i-� PLAN NO.
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owrvER_ �T� c ��d ,��,
DESIGNER
USE/NATURE OF WORK �
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BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
�EATING CONTRACTOR !�-i
Heat [] A/C � Vent ❑ Fuel/System Heat Loss ���/ �i F7`– BTU'S � ��7
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 $ ��- �� Permit Fee Paid $ l- 9- C�`'� Park Dedication $
ISSUED BY Date J�I g S^ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 1D ///��
AGENT/OWNER ��
DATE
ADDRESS �� ���lf � �j��� �
TELEPHONE N
APP1. DATE l����/��_ �_ PERMIT i10. �/��/
ADDRESS � 7 /�/�O�"���c.�
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OWNER �Ce t_ �- ,J�O C/�
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! NATURE OF WORK
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HEATING CONTRACTOR���/y1 �-�`-1
FUEL: GAS OtL � SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM !
SYSTEM RADIANT SUPPL.
� CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS � }c� `5' �- SYSTEM BTU RATING �. ��j
MISC.
INSP. ROUGFI IN FINAL �
EST. COST /y�� �;�p PERMIT FEES �y�U� DATE PD O // S '
REMARKS
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