HomeMy WebLinkAbout0010649-Building (roof)
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CITY OF OSHKOSH N2
PERMIT - APPLIC'ATION AND RECORD
10649
TYPE:
BLD~HTG D ELEC D PLBG D SIGN D ZONING R. ..(.... FLOOD PLAIN ~ HEIGH~
.. --- __.... --.. -- --.. ---..-.. --.. -- ---.... --.. --.. -- --....-.... ---..- ..--..oo..-.. .....__ __.....
ADDRESS !, ~S-b lJ0PJJE.V\ Ave
OWNE~l-!~fL<a L-D 8 I D vJ E1LL-
PLAN NO.
BUILDING CONTRACTOR {t...f(<'LtrJt..
I 0 -"
Size Sq. Ft. I () ~ u
Foundation
-DF(N"-.-
# Rooms
#,ies
Class of Const. C5
Z-- Height ~
NeT, ( f'"
, Occupancy Permit ~v ,vt-:1
HEATING CONTRACTOR AJ .;>Af4-
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Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
/VJN!.....
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ./lJe>./vt-
_BT
_WH
_Sh
_Disp
_OW
_SP
_ WSoft
_OF
_Ur
_ CBasin
_Lav
_ San. Sewer
_we
_FOr
_ LTub
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
....
Permit Fee Paid $
Date
~ (/
<:::i-;;J- 7 -ry
Park Dedication $
Final/O.P.
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ISSUED BY
In the performance of this work I agree to perform ail work pursuant to rules governing the described construction.
SIGNATURE
U?.J!.-I'(k2/~
AGENT/OWNER
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9'-~ ?'-&/~
/ DATE
ADDRESS
c23~ - ;;2056
TELEPHONE #