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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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02261
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OWNER
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/7~ 'r!5- f-e r . -~ b
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK ----fJ2ti q. ~ ar # {2 C e
C:;.F ~<;
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
II Stories
Class of Const.,
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR {,b~ /ey
t ". Heat if9 AlC D Vent D Fuel/System
1<1 0/- L
'/1/ .tS-:
Heat Loss $"/:'/51"11/7
BTU'S
~C'J ~
/
~LECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
FEES, Valuation $ ~CI7/tfJ - cJq!? Penn. Fee Paid $ $At? - t7-fj ./
ISSUED BY (:t~/~ Date" / !J- / j J % /;
, v / I
Park Dedication $
Final/O.P. {~~ S - J 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
.R?/~~J
AGENT/OWNER
J~j;!l't
ADDRESS
TELEPHONE #
PERMIT NO. &;Z ~(; I APPL. DATE
I~/~/ II/r~k/}/yl
OWNER Cf, ~1" fer fJ..nd!'r~ n
NATURE OF WORK . I? flfJ tlc;:;- f5; Of t2Re.
HEATING CONTRACTOR L.e./ -e "f ) e y . ~
FUEL:& OIL ELEC SOLAR SOLID
! op;;/rt
ADDRESS
i
~~:~~~IONING ~:~~AIR SUP:t:Mr:NTl~~C' ~~~CON~~AM
, .
CHIMNEY':' rJI. "B" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS SYSTEM BTU RATING g-C/ .t/Y~ .
MISC. '
INSP. ROJl?H IN. . FINAL... /
EST. COST'~. C"t?PERMlT FEES ~C'~ '
EEMARKS
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