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HomeMy WebLinkAbout0038420-Building (roof) J�/ /� CITY OF OSHKOSH N°- 38420 `' PERMIT - APPLICATION AND RECORD ; TYPE: BLDG ;�XI HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - �1- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS `J� W' ��V��y 1V lOE• PLAN NO. OWNER C.b/�C�� �'�/�;� DESIGNER USE/NATURE OF WORK �� � ��� �S� �2 �� C7� r»'zC �- c�ce�( c.��� f�R✓� �G� �2 ' ��Y �F� �/ck�S� (.v i ct.. ffi(�l� p� !�4 �`�'S BUILDING CONTRACT�R U`��`-� ���16 � Size Sq. Ft. # Rooms # Stories Height Foundation C�ass 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 �Q O.SZ FEES: Valuation J� � Permit Fee Paid $ ° � � Park Dedication $ � ISSUED BY Date ��1! �7 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. : SIGNATURE rf'—if.s/�Y/il�iiRl ��i1��t/ 3 ll— 9� AGENT/OWNER DATE ADDRESS ��a -J3 ��/VI�4J-d�_ /�,d �'yl�/t//��/� Gtf.L S'�/�'i�� 73�—`//s/ TELEPHONE#