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HomeMy WebLinkAbout0039524-Building (roof) / �/ ` CITY OF OSHKOSH N° 39524 � PERMIT - APPLI ATI C ON AND RECORD TYPE: BLDC��HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� I �. l S�� �� PLAN NO. OWNER r K-�i S C'�1 f'' DESIGNER USE/NATURE OF WORK � /� � ��Cc�'� O� ����' i�q// � S ` �a l( �� � BUILDING CONT'RACTOR � ! f'� 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 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 $ �� 'r Per ' ee Paid $ � � Park Dedication $ � ISSUED BY Date � � Final/O.P. In the performance of this work I agree to erform all work pursuant to rules governing the described construction. � SIGNATURE J ^ V _V � �C� . � �� � AGENT/OWNER � DATE 1' D.� p. Q ADDRESS � e, 6� � �4� � I �( TEIEPHONE#