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HomeMy WebLinkAbout0023821-Building (roof) � CITY OF OSHKOSH N° 23821 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . ADDRESS ��� , � � PLAN NO. OWNER DESIGNER : USE/NATURE OF WORK %u'�� � 6UILDING C�nNTRACTOR �^� T w Size �/t Sq. Ft. # Rooms # Stories �� Height Foundation /����' Class of Const.� Occupancy Permit����?�/v 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 $ �-S �d• n'� Permit Fee Paid $ �� �� Park Dedication $ ISSUED BY�.�f-��y Date ����/ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � : AGENT/OWNER DATE � ADDRESS : TELEPHONE# �