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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
29048
TYPE:
BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
W- -etl'i--ln-i
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BUILDING CONTRACTOR
,
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
Vi HEATING CONTRACTOR Gd fJ V tL II ~ r
G-- Heat ~ AlC D Vent D Fuel/System N "- 6~
If-~
Heat LOSS. ~ pp/J
BTU'S I?P. ~ .
. ,.
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
FEES, Valuatk," $ ~ =
ISSUED BY .. ..
Permit Fee Paid $
Date
?~.~ j
. tel.q~~
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
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. DATE
ADDRESS
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TELEPHONE #
APPL DATE ~J,?j1.-.$-- PERMIT ~O.
ADDRESS d t:J 9., #r "c k /Y P. v La he..
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NATURE OF to/ORK fJ -(:ai-In. 'j AI ~ Jk;rnt!3
HEATING CONTRACTOR fry, ((iVII,!, 2
FUEL: OIL ELEC. S AR
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OWNER
SOLID
H.W.
SUPPL.
ELEC. BASE.
A
STEAM
CHIMNEY: "A" B' DIRECT VENT CON. BURNER
CALSPLATED HEAT LOSS ~ /J;tJ? SYSTEM BTU RATING . J /1 d"tJ-t,')
MISC.
INSP. ROUGH IN FINAL - f?/
EST. COST 7'1P7P '" ~ PERMIT FEES 7 7. t.~ DATE PD
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