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HomeMy WebLinkAbout0036701-Building (city rehab - roof) I� N� 36701 � CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS ���� / �-�� ������� PLAN NO. � J�`�1��� r�f'�//��_��<'� � OWNER ;� ��- DESIGNER /�`/ �t � ,� � > ' : /� —��� f'.�;�.; ��'� -/J�=/C. USE/NqT�JRE OF WORK , �� � - }���� r � /;K't� f`�:�i+!�� r;.�� i[_�Y_ i-� i T��+;J ��' J/ ���,7�. � BUILDING CONTRACTOR /V I�JC � �!��-����•� Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const. � Occupancy Permit h� : 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 '�' G<� D� FEES: Valuation l���J Permit Fee Paid $ � =%" Park Dedication $ � ��/ ' ���; ISSUED BY � �° _� �- '- � Date_� ,m Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 1� � �� ` AGENT/OWNER D TE ADDRESS ��3 r�(� � � '�o��YQ�O I TELEPHONE#