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HomeMy WebLinkAbout0041316-Building (roof) lie CITY OF OSHKOSH N2-41316 PERMIT APPLICATION AND RECORD TYPE: BLDGtHTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 1 0 t„,-,4 PLAN NO. p r OWNER /`r�?� r DESIGNER USE /NATURE OF WORK e-.S riE'GA- Y r C' y e r`Q7 ©c )4..c2.c- o c r 1 BUILDING CONTRACTOR -i Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New Change Temp 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 LTub Eject SS Water Other I FEES: Valuatio�� 3 _.........-1 P :rmit F aid Park Dedication ISSUED BY ==l I 41/A /A Date Ar! g Final /O.P. ilk In the performance of this work I agree to pe orm all work pursuant to rules governing the described construction. SIGNATURE 2 )3( a y AGENT /OWNER DATE ADDRESS /02 a Y CJ ,-:-24 P4,4 ee- d 3j ,2i TELEPHON