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0033214-Building (roof)
��1 � CITY OF OSHKOSH N° 33214 `' PERMIT - APPLICATION AND RECORD TYPE: BLD�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - -� - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -PLANNO. - - - - - - - - - - ADDRESS�_��- /%�'P r'�-t-i � � OWNER ,,d,t°ea k�r u-1` fv�' l`�' DESIGNER USE/NATURE OF WORK r � ��$ '�' l ., ' �e iG°� �/4 BUILDING CONTRACTOR���'1°'L- C P-' �--' 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_ / FEES: Valuation ermit e Paid $ s~ Park Dedication $ ISSUED BY -+� Date � � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � n 1 SIGNATURE ` ,3"�J'�� �� AGENTiOWl�ER DATE ADDRESS � � � � `> vG�3` �� � TELEPHONE#