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Home My WebLink About0001224-Building (flat to pitched roof) � CITY OF OSHKOSH N° 01224 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS �� ' �� (-1{� � PLAN NO. OWNER ��/EL. �. �NQ��S�O � g D b � �LU� U�� ,�— DESIGNER USE/NATURE OF WORK dl/"��-� ��MIC�Y /c�S/Q�iVG�� {j��/V�s� �jl�}� �'LA-�r-- -m �°iT-cH�/� /loc� BUILDING CONTRACTOR W��- Size Sq. Ft. � # Rooms # Stori s � Height / Foundation Class of Const.� Occupancy Permit �� ^ �CJ = HEATING CONTRACTOR /�� Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR , C/ Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACT�R /" � � —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 $ G ISSUED BY • Date�� —,r� b-`" Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � , `r SIGNATURE '�/ �'2%�-�" /�� AGENT/OWNER DATE ADDRESS TELEPHONE# '