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HomeMy WebLinkAbout0039787-Building (roof) C `�/ � CITY OF OSHKOSH N°- 39787 PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS II� �° ���� /'VE, PLAN NO. OWNER ��'1'�YL ��L� JI��� DESIGNER USE/NATURF c�F W(�RK ��F/�,� E,j�(�p� /IUVS�� .. �(���'f_� //C^,G/� �t / o`' Q C_O �OU�/e�E, /1�/rq��j UQ�� BUILDING CONT'RACTOR DW1�=/` 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 � e o /� �,� FEES: Valuation $ Q' Permit Fee Paid $ ` �` Park Dedication $ �� ISSUED BY Date �131 � L FinaUO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �`� ^7� AGENT/OWNER DATE ADDRESS f��� � � ��� 7��D'Dl�� TELEPMONE#