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HomeMy WebLinkAbout0028506-Building (roof) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 28506 ~~P_E~ _ _ ~L~~~ ~T~ _ E? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ < ADDRESS t.f/ <f );;r? ,:.Ld~ ~. . PLAN NO. t" ~-2h71~ff cR~/ / OWNER DESIGNER USE/NATURE OF WORK j/~ de- ~<<-?7J <I-'~ /Z!~;7ecfvl-(' t:1U uc::'1 Jw-t ,~?-t~I'~'{A) BUILDING CONTRACTOR tni/G Size 9.x.....c,,........- q. Ft. (j Foundation !d~tU0- Class of Const. # Stories ~ I Height Occupancy permitd # Rooms HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S 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 _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other FEES: Valuation $ ,;:2-0 eJ 0 . 0 D Permit Fee Paid $ IS;:-:o 0 ;/ ISSUED BY ~Tl-' 1~/f'(Mz_:t"-- Date '::.--jrjql..----" - / . ( 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 ~~ G-/ \r--~^\ AGENT/OWNER DATE ADDRESS TELEPHONE #