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1986-Building (roof)
/� CITY OF OSHKOSH No _ 01252 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING� FLOOD PLAIN 1�— HEIGHT�G'� - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � ��s P�C� �� PLAN NO. OWNER M�I� Ll� K-.K�N �� Z..7� 'r gE � '� DESIGNER USE/NATURE OF WORK d/�6 L� ���I L � ��S/ • ��L�CL� ��iN% �d 0� w�fi'f� ���D ,2o�az�, , /N/�l v� �'e r-��e� � /1�'�9/L D� �l,D�' �/��� .L/.�� %S z� �l��ru�<� ��' oc�N��., BUILDING CONTRACTOR 0��`��� Size z �2�- Sq. Ft. Z�'�" # Rooms # Stories�� Height � Foundation /��C- Class of Const.� Occupancy Permit �T C�� 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 — �y o ^ FEES: Valuation $ �� Permit Fee Paid $ � ' Park Dedication $ �'7- ISSUED BY � Date ,�,/ ��' Final/O.P. In the performance of this work I agree to perform afl work pursuant to rules governing the described construction. �� � �� / SIGNATURE �!�%��GGZ/G �J . ����� 9- 9� gl0 AGENT/OWNER DATE ADDRESS TELEPHONE#