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HomeMy WebLinkAbout0047633-Building (roof) CITY OF OSHKOSH N °_L7C3 PERMIT - APPLICATION AND RECORD TYPE: BLDG 15k HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS O N tatrj e( PLAN NO. OWNER \ o Ct:AV1 1 ( DESIGNER USE /NATURE OF WORK S F l Lc r c�[ C C 0 0 BUILDING CONTRACTOR We a 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 (� o ©C7 FEES: Valuation $ 1 b 0 Q Permit Fee Paid $ 1 Th Park Dedication $ ISSUED BY 10.42-, Date 1 0 — C C/< Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Q ,rJj q � .�:I ' J N OWNER � ADDRESS 7 � 0 � � C� C / �05 /;�� /� ,5 TELEPHONE #