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HomeMy WebLinkAbout00336887-Building (roof) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 leff 33687 , ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O~~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER I tf-.Z3 ~ ~ I~fj-~ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK I~(L "( q~ 1l~.~~ BUILDING CONTRACTOR Size ~ Foundation ,4~~'4M-~ Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 NC 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 _FOr _ L Tub _Disp _ WSoft _ CBasin _OW _OF _ 'San. Sewer _SP _Ur _ Storm Sewer _Eject _$S _ Water _Lav _WH _Sh _BT _Sink Other FEES: Valuation $ I (, 00. 0 0 Permit Fee Paid $ ISSUED BY ~ /~1.u~ Date J ~ '-.,/' I~ ,00 ~1'3 /9), Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~ (~~~~ AGENT/OWNER ~. ~,,.. 3(Cf3 . DA-r<f .."...---/' ADDRESS TELEPHONE #