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0047156-Building (roof)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD BLDG t HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING N~- 47156 TYPE: FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER DESIGNER USElNATURE OF WORK -fl{}J1 &j o/'lld /)(1 - A~ BUILDING CONTRACTOR J, fY1 '!-/leD 1Ja. /J Size Foundation Sq. Ft. # Rooms Height Occupancy Permit HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _ Eject _ WSoft _DF _Ur _SS _ CBasin _ San. Sewer _Lav _Sh _FDr _ L Tub _Disp _DW _SP _ Storm Sewer _WC _Sink Other _ Water ISSUED BY / I Permit Fee Paid $ /5 DO.J . Date q-I !f)c; 5 Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. S,GNATURE ()~AY ktp ~ AGENT/OWNER .lADDRESS 1117~d q O~/c(jJ.L QI/v/5i--- DATE TELEPHONE #