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Home My WebLink About0003176-Building (install pitch roof) /�/ CITY OF OSHKOSH N° 33176 � PERMIT - APPLICATION AND RECORD TYPE: BLDG�] HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - �� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � 3 ��- �J� �_ PLAN NO. � OWNER �7'`� DESIGNER USE/NATURE OF WORK �� I��2sZ e�L.� �t � I�Z V.2[� B-d� /`'a�G� d� ��' BUILDING CONTRACTOR � ' , Size Sq. Ft. # ooms # 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 FEES: Valuatio $ � • Permit Fee Paid $ 5��` v � Park Dedication $ ISSUED BY Date � Z � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � /J — � A /OWNER DATE ADDRESS TELEPHONE# :