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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13129
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ADDRESS ? 7 !l /..h:; /"'/?? ~ / PLAN NO.
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OWNER jlf 7 r CJ /1 t:J e cI e.-
DESIGNER
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.
niL-
5: F; R€!-5
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR .1/ a e f ~
L Heat D AlC ~Vent D FUel/System' -eY- Heat Loss P'f" ('5 ./
BTU'S bL T'e/ r-;
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 _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $
I 7 (){ '1. CJt) Permit Fee Paid $
~p ~.....- Date
.)~. cXJ v"
~/V?/9
,
Park Dedication $
ISSUED BY
Final/O.P.
((I -2q - 89
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
L0/~/
OAT
ADDRESS
TELEPHONE #
PERMIT NO.
APPL. DATE.
! 51J/t'7
/ ,/ "
ADDRESS
O\lNER
NATURE OF WORK
HEATING CONTRACTOR
FUEL: GAS
SOLID
CONDITIONING
SYSTEM
FORCED AIR
RADIANT
H.W.
SUPPL.
ELEC. BASE. STEAM
/c VENT
CHIMNEY: "AIt ItB" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS ff' 'I-('"} If- SYSTEM BTU RATING p-- ""hP 1-1
MISC.
INSP. ROUGH" IN FINAL
EST. COST /7 'ff 9. dO PERMIT FEES }J.. '5, C-7P DATE PD
REMARKS