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Home My WebLink About0041710-Building (roof) !�'/ s CITY OF OSHKOSH N� 4�7�0 � PERMIT � APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / ! � w' �� V C E PLAN NO. OWNER ��L�� /U�ID� DESIGNER USE/NATURF nF WORK��/ I� —'�� OUS� � ��i` L.-�'"/ , Rllll I�W(� C(�N7RACTOR �� ``�'� " 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 ; oc� FEES: Valuation $ �� Permit Fee Paid $ ` Park Dedication $ ISSUED BY DatP ! °�`�" �7 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �� S � AGENT/OWNEA D TE ADDRESS �� s�� :,�3 6 - %�l �D TELEPHONE�