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HomeMy WebLinkAbout0047547-Building (roof) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD /~I N~-47547 TYPE: BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - i- - - - - - . - - - - - - - - - - - - - - - - - - - ADDRESS e:J3.3 'I S~L~n-€- JhCk!tJL'1 kN L LIZ,) ~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK AbtYlff"f-t s-td AWf/Yl ~. and LU /79ft Av~o # Rooms BUILDING CONTRACTOR Jvehke., Size Foundation Sq. Ft. # Stories Height Occupancy Permit Class of Const., 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 _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ ISSUED BY Permit Fee Paid $ Date / 3JJ .1) 0 /" /IJ .5,9-5 Park Dedication $ Finallq,P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. L!1IGNATURE A.~ -!'-t tJv<~ -___ ~ ~ AGENT/OWNER YADDRESS W l:.rJ'. 0 MAA.Ji71u...L)QG Ae1 M[../J#~4 t{)/ 10- s-- sr DATE /0/ ~ )'/,,)-/ TELEPHONE #