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Home My WebLink About0041486-Building (roof) /� CITY OF OSHKOSH N� 41486 : � PERIUIIT -- APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� ` �� J,��' PLAN NO. OWNER `^'"' C.(�� DESIGNER USE/NATURE OF WORK / � �� S� / �'�� ` �� /'�� Riiu niNr, r.nNrRacT�R N �� t�o��- 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 Fi�ures 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 $ �' � Permit Fee Paid $ �` � Park Dedication $ ISSUED BY DatP�Q7 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. . 1 SIGNATUR �� .. AGENT/OWNER DATE ADDRESS ��iC, TELEPHONE�