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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECOR
N2
07428
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OWNER
PLAN NO.
ADDRESS
USE/NATURE OF WORK
DESIGNER
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
HEATING CONTRACTOR
Heat ~ AlC 0 Vent 0 Fuel/System
Heat Loss as iftJ7
7?)C~
Class of Const.
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
f
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sew r
_WC _FOr _SP _Ur _ Storm Se er
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ '7~f7~"~~...;~.,,.;;;~;:.~;;::;>~:~it;ij;';;'7~;'roi'"
ISSUED BY (/21f tt---- . . ..............,.....~~te '-:;j/7j,!,Y
Park De ication $
Final/O.P 4 -1 -~<6
In the performance of this work I agree to perform all work pursuant to rules governing the described onstruction.
ADDRESS
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TELEPHONE #
SIGNATURE
PERMtT NO:r t? 7 ij)-. g
ADDRESS
APPL. DATE
OWNER
NATURE .OFWORK 11- -eoa
HEATING CONTRACTOR If-.
FUEL: @ OIL ELEC
e...-
SOLAR
SOLID
CONDITIONINC'ff()RCED AIR H.W.. ELEC. BASE STEAM
SYSTEM GRAVITY SvPPLEMENTARY AIR CONDo
CHIMNEY; "A'" If DIRECT VENT CON. BURNER
CALCULATED IIEAT LOSS /t7 14.rJ)'{ SYSTEM BTU RATING.
MISC. =r1'
. INSI' . ROUGlt IN FINAL J
EST. cos1/97 J:0'z? PERMIT FEES / ?-< d(J DATE PD
REMARKS