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Home My WebLink About0041362-Building (roof) /�1/ CITY OF OSHKOSH N� 4i362 � PERMIT - --. APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 1��a �'' / �� /9�C - PLAN NO. OWNER ��G� j,�AC dT�� DESiGNER USE/NATURE OF WORK � � �C� ` �'Q�� A��/�� ' c�� Ob�/1/� �ll%�i i�'Q�) BUILDING C'nNTRA('TnR �� L,,JQN�C.J f-//�,� Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const.� Occupancy Permit� HEF�TING 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 E —WC _FDr _SP —Ur —Storm Sewer —Sink _LTub _Eject —SS —Water Other FEES: Valuati �5�� Permit Fee Paid $ �� J Park Dedication $ ISSUED BY Date �/a6�4� Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE ��- �- ' ' <n��.-,�O � �� AGENT/OWNER pq� ] v . -� ADDRESS ` � � ) 'L� � TELEPHONE�