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HomeMy WebLinkAbout0038970-Building (roof) j�� CITY OF OSHKOSH N°- 38970 � PERMIT - APPLICATI N AND O RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �I / �� / � /��VI��/' / � ��• PLAN NO. OWNER //,JU/�� � (/V��Y vVI ���(�"/�I DESIGNER USE/NATURE OF WORK ��i /`J E— �� ��S�o �/C�Q�Z//�� �1C''�C' �l S�ic�6 �/l/1Ri�T�/�C`-\ J BUILDING CONTRACTOR l./�"� 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 / p� _ FEES: Valuation ��• Permit Fee Paid $ �` � Park Dedication $ ISSUED BY Date � 4 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE '��-e°-«-f'.�� � ��I���Y AGENT/ NER DATE � ADDRESS � ,� � _ L�t�t/�C� . o'Z3 3- Y 7 02 (� TELEPHONE# ,