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HomeMy WebLinkAbout0033115-Buildilng (roof & siding) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 I <If 33115 ~P_E~ _ _ ~L~~ ~ : ~i~ _ E? _ ~~E? _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ 0 _ ~~I~~T_ _ _ _ _ ADDRESS 92/ ~ PLAN NO. OWNER_1~ ~.;d;;' DESIGNER USE/NATURE OF WORK ./1~ ~ 1Ir/~ tL ~ -f 4 ~ t ~::r-h ~Af/ BUILDING CONTRACTOR J5A.U(.( J1 ~ , Size U3 Sq. Ft. Foundation fj~J 0" ~~ ( /3.LAA . # Stories Class of Const. J ""Z- Height Occupancy Permit Ala # Rooms 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 _OW _OF _San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other I ? J FEES: Valuation $ :::> 70 0 . 0 0 Permit Fee Paid $ :>5". () tJ ISSUED BY ~~ Date ?>pZ/f3 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 ~ 7/?c-j? :> , DATE ADDRESS TELEPHONE #