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0036167-Building (roof)
/ °� / CITY OF OSHKOSH N°- 36167 � PERMIT - APPLICATION AND RECORD TYPE: BLDG-�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS // �� �• ��� � � PLAN NO. OWNER �L�I G 6'l ` ��0.(��� ��G �Z .Aa �1�f�' DESIGNER USE/NATURE OF WO�� ��� � �X E' ,I� l�'C'' �'1� h Pc� 4 O'�Q , /���I' f'� O� �'- . r � BUILDING CONTRACTOR � Size Sq. Ft. # Rooms # Stories �- Height Foundation Class of Const. C' Occu'ancy 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: Valuation Per 't e Paid .$ Park Dedication $ ISSUED BY '� Date � -g �� Final/O.P. In the performance o is work I agree to perform all work pursuant to rules governing the described construction r. �__'' � � SIGNATUR ) � � �� AGENT/OWNER D ADDRESS �� � ��� ' �/ " �� ������� � ELEPHONE M 9