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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
5"'0 /
Ng 46715
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USE/NATURE OF WORK ~cIJ J4I c--
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PLAN NO.
ADDRESS
OWNER
DESIGNER
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
E
i
HEATING CONTRACTOR f.,&.~5' I ej'
Heat 0 AlC ~ Vent 0 Fuel/System
'!!:1
E/~q
Heat Loss
~/'71
BTU'S jJ Ji;? h /1-/ C
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type
Volts
Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_Disp
_DW
_SP
_ Eject
_ WSoft
_DF
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
_WC
_FDr
_ L Tub
_Ur
_Sink
Other
_SS
FEES: Valuation ~ C'-CJ
ISSUED BY
Park Dedication $
Final/O.P. ;;;.-1 fa -- C;fR..
In the performance f this work I agree to perform all work pursuant to rules governing the described construction.
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DATE
SIGNATURE
ADDRESS
TELEPHONE #
APPT~ DATE &j;~77j-
a / i I-IvJ~ &J Y]
::~ OF wo~(If'PJ:J ;/):~en
HEATING CONTMCTOR U! "'~ #-ty
FUEL: GAS OIL C . SOLAR
PERMIT ~o.
,/61/ r
ADDRES3
SOLID
CONDITIONING
SYSTE~1
FORCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE.
C
STEAM
CHIMNEY: "A"
CALCULATED HEAT LOSS
MISC.
INSP. ROUGH IN
EST. COST I ~ t: ChJI
REMARKS
"B" DIRECT VENT CON. BURNER .
p'j:/e;T-" SYSTEM BTti RATINC ~ 'hnJl/c... t
FINAL II,. ~
PERMIT FEES ).d. ~ DATE PD
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