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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECOR
N2
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38390
TYPE: BLDG D HTG I)?J ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLA ' NO.
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OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupa cy Permit
Foundation
Class of Const.
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HEATING CONTRACTOR 4- t-e r f~ $'"'
Heat ~ Ale D Vent D Fuel/System 1/ LP - Heat Loss f?'t/1: r
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BU'S ~~~
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ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_FOr
_ L Tub
_Disp
_ WSoft
_ CBasin
_ San. Sewer
_Lav
_OW
_SP
_ Eject
_OF
_WC
_Ur
_ Storm Sew r
I
_ Water I
_Sink
Other
_SS
FEES: Valuation $ '-'lIP ~ b--: o-tf
ISSUED BY .. /--~
Permit Fee Paid $ ~6" ~ J'
Date ~/J79?
Final/O.P. '
,
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AGENT/OWNER .. DATE"
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ADDRESS
TELEPHONE # .
APPTJ DATE PERMIT l{O. ~ 3"7 0
ADDRESS 1-,
OWNER
NATURE OF to/ORK V ,J;ce
HEATING CONTRACTOR
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FUEL: OIL ELEC. SOLAR SOLID
{;ONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEl-1 RADIANT PPL. A C
CHIMNEY: B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS /: Y:;/(-S-;- SYSTEM BTU RATING tJ
MISC.
INSP. ROUGH IN FINAL
EST. COST,q () ~ 5: P-,:;' PERMIT FEES
REMARKS