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0021315-Building (provide slope roof over flat roof)
� CITY OF OSHKOSH N° 21315 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG �HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS C� � � /C�� JzD�. ��4. �� PLAN NO. OWNER �° �� �� DESIGNER USE/NATURE OF W/'ORK f"Qef'� � 'k-- ���c I i�`G�� Fi�Pc1. C9C �x�0� � BUILDiNG CONTRACTOR �� � ' t� T– � � Size I � X�D �c�'�qr. Ft. # Rooms # Stories � Height Foundation��r�s��` 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 $ � �' d rmit e Paid $ � Park Dedication $ ISSUED BY Date a � p Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � d''s- 2� J /p ' '�� � 9� AGENT/OWNER DATE ADDRESS �3 � U %S.�-,���_ �� aP 0�����c=y�<-� ����%, TELEPHONE# - s : M x,.� .:. a.. .,'_�. ...., ::,;.:i- - ai r - .i _. . _ ... .�- __ _ _-- --_ _ _ 4 Z��� _ _ _-- --- ----- -- -� __ -----_ __ _ _ ___ _ - - -- -- r-. _-- 7 /+� / � . . .._.._ . . .. _ "____'__ - I � ' ."�' __-.... _. __._.. .___.._.. . __ . . .. .._. : - , .__ . .__ � -_—_"-_--""_ 1 � • ' !' .. - .- _ _. I i � . �.-..- ___ I ' i: '' , f � �; i __ . . . . . . . . __".__'"' '__- "-_._._ t � _ ._. ..... -_-" _ '� ' � � , �� --____ - -- , _ � � � � R � � � � � ' _ y. —" - _ .. . __ __ _. . . .... . . ._ j� !P'�-, t - __ ; _ _ ,, - � � �' ,. � � --- � _ } � - -- �:'�-+ �� � - � _. � � , ' . y � j- �JC.) 1� % i / /' � / J �� .;e .� r i / � / / i /� �i f � ��� �s'�� an e����t� � . 3� .:tt:? / /