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Home My WebLink About0033683-Buildng (roof & exterior) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ /f.{( 33683 ~~P_E~ _ _ ~L~~ ~_ ~T~ _ C? _ ~~E~ _ ~ _ _~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS PLAN NO. OWNER BUILDING CONTRACTOR Size ~ Foundation ZJ4-k- ~ ~t?, (~~) 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 _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other V / If() ..0 () FEES: Valuation $ Permit Fee Paid $ Park Dedication $ ISSUED BY Date S/3/;3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE B~ d.--- ~ AGENT/OWNER 5-- J ...q 3 DATE ADDRESS TELEPHONE #