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HomeMy WebLinkAbout0015239-Building (roof) � CITY OF OSHKOSH N°_ 15239 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���a �-'� ► [ � �'�'tl° PLAN N0. OWNER ���� �/7 U.�' DESIGNER USE/NATURE OF WORK � °4'� � ? BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation� a... P Class of Const.�2— 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 ay Q � FEES: Valuation � ermit ee Paid $ Park Dedication $�—� ISSUED BY Date � Final/O.P. In the performance of � work I agree o perf all work pursuan` 'o rules governing the described constiuction. SIGNATURE � Z � AGENT/OWNER DATE � ADDRESS ��i' `��y W L " ` �3`� 3l,��� TELEPHONE#