HomeMy WebLinkAbout0034610-Building (roof)r~~
O CITY OF OSHKOSH N4 34610
~' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~" 7~ - ~ / ~P ~ S'S~~/'t1 ~~ PLAN NO.
OWNER ~ t° K th_ r~ ~ \ 0(.c ~ ,
n
BUILDING CONTRACTOR VC. s1i1
Size Sq. Ft. # Rooms # Stories ~ Height
Foundation Class of Const. ~ Occupancy Permi ~
HEATING CONTRACTOR!
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
BT WH
- Lav Sh
- WC _ FDr
- Sink LTub
Other
- Disp
DW
SP
-Eject
- WSoft
- DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: \
ISSUED
Paid $
- Date
Park Dedication
Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURI
ADDRESS
DATE
23~~ ~~~ g
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