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HomeMy WebLinkAbout0044181-Building (roof) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD }~ ( Ng 44181 ~P.E~ . . ~L~~T~.l? ~~E~. ~. ~~B~. ~ . ~I~~ .C? . ~O.N~N~_ . _ _ _ . _F~~~D_ ~~I~ _ . _ . _ _ ~~I~~T_ _ . . _ ~- .s;-JjB /L{Ck-QI"-;SCU1 C ~ t-'~ ~ €- Kf\. v.cO~ t"' M ADDRESS PLAN NO. OWNER BUILDING CONTRACTOR Size Sq. Ft. Foundation ~~~ ~OP 1.0 r--:--r /V. i>. # Rooms # Stories Height Occupancy Permit Class of Const. ~ do 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 ""<.....- _WC _Ur _ CBasin _ San. Sewer _ Storm Sewer _BT _WH _Sh _FOr _ L Tub _Disp _OW _SP _ Eject _ WSoft _OF _Lav _Sink Other _SS _ Water / r~ 3 2-V 5':\- I Park Dedication $ Final/O.P. ISSUED BY Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE {'CUkZ~ d~ u--.. i: AGENT/OWNER ADDRESS //Cld" l#h4<T-'- Jf O~~ tJ~ ....- 3..22.,..~j DATE t(2b-2J03 TELEPHONE #