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111531
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
JAMIE R BROWN
Job AddressOwner
54 LAKE ST
Create Date10/18/2004
ContractorBREWER HEATINGCategory502 - Residential-BothPlan
Oil üü Electric
üü GasSolarSolid
Fuel
üü NewReplaceOther
System
üü Forced AirRadiantSteam üü A/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
NSFR/ HVAC for New single family with attached garage.
of Work
Plan Approval$0.00
Fees: Valuation$4,500.00Permit Fee Paid$72.50
Issued By:Date11/05/2004
Permit Voided
Parcel Id #0803220100
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
SignatureDate
Agent/Owner
AddressN8804 N DOUGLAS STRIPONTelephone Number920-748-6494
WI54971-0
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.