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CITY OF OSHKOSH N� 41809
� PERMIT - APPLICATION AND RECORD
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TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT '
ADDRESS �y� � �a/h�/ PLAN NO.
OWNER ��� �SV /7 }
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DESIGNER
USE/NATURE OF WORK /�IG�/����—�
BUILDING CON1'RACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR � h
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Heat ❑ A/C � Vent ❑ Fuel/System ' Heat Loss ��/�S� BTU'S ` � �
V P
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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 $.1 � �� Park Dedication $
ISSUED BY �� Date�i��/�� Final/O.P. �� � 7� !�
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE g
AGENT/OWNER D TE
ADDRESS � �'s �'�� S�
TELEPHONE M
APPT. DA �_ PERMIT N0. ��D Q �
ADDRESS ���0 ���� � _—
QWNER �� L�T�% � U�
NA..''URE OF WORK /I�� /,�"'7 C-
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` HEATI NG CONTRACTOR /�t��*a`C�t!' !�y
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FUEL: GAS OIL EC SOLAR SOLID
CQNDITIONING FORCED AIR H.G1. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL.
CHIHNEY: "A" "B" DIREC'T VENT CON.BURNE
CALCULATED HEAT LASS ��'�fs1` SYSTEM BTU RATING � ?
MISC.
INSP. ROUGH IN FINAL d �j
EST. COST ` ��- � PERHIT FEES L Q_C�`f DATE PD j
REMARKS