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HomeMy WebLinkAbout0036354-Building (roof) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD LL/I 36354 :~P_E: - _~L~~P( ~T~_~- ~~E~_~- ~~B~_~- ~I~~ -~ _~O_N~N~_~- _F~~~D_~~I~~- ~~I~~T~ g;[) ~DLrJ /¡J AvE fRArvi.¿L/fJ 1ÄNN ES$ /JIA Ke- k~¡::: (rEfllZ oF~ - VJ/¿é.- $£ ADDRESS PLAN NO. OWNER DESIGNER / &178) USE/NATURE OF WORK BUILDING CONTRACTOR --:D6..\J t D 7:iN K Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class 01 Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heal Loss BTU'S ELECTRIC CONTRACTOR Electric Servo Fixtures New 0 Change 0 Temp 0 Type- Volts- Amps- Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _Disp _OW _WSoft _OF - CBasin - San. Sewer _Lav _WC _FOr _LTub _SP -Ur _Storm Sewer _Sink Other _Eject -SS _Water FEES: Valuation $ ~::;W; Q!< ISSUED BY %W Çiwll&/--c / Permit Fee Paid $ 15, ~ .¡ Date /O/t2/Q~ I . Park Dedication $ Final/O.P. /6J-Ã't9-~f In the perfo~ma e 01. this work I agree to. perform all work pursuant to rules governing the described construction. /J Qk lO-n- ~ B r:><. SIGNATUR /Z~1. ~/ ~1vll~ <; ~Ó AGENT/OWNER ' DATE 1ôÇ-S?'J4 ::>-.... TELEPHONE # rf ADDRESS