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HomeMy WebLinkAbout0033611-Building (roof & steps) ':1' ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ lift 33611 ~P_E~ _ _ ~L~~ ~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS IS:W , ~ //'Ot ~, ~ I PLAN NO. OWNER DESIGNER US~WORK ~ dff' ~~ E~4-ew~-Ud<kzz / ~ I' BUILDING CONTRACTOR & ~-1 Size ~ Sq. Ft. Foundation # Rooms .# Stories ?-. Height Class of Const, ?" Occupancy Permit .4t~ 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 _Sink Other _FDr _ LTub _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _Lav _WH _Sh _BT _WC _Ur _ Storm Sewer _ Eject _SS _ Water FEES: Valuation $ ISSUED BY Permit Fee Paid $ Date ~ j:};/O'''D<'~ Ded;c.';on $ 2,-. Flnal/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE d~ f!!:~ ~y{3 ADDRESS TELEPHONE #