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Home My WebLink About0041411-Building (roof) i�i/ CITY OF �SFIKOSH N� ��14�1 � PERMIT — �PPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGPV [J ZONING FLOOD PLAIfV HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /STQ/ ,1�fe�r1�� `� PLAN NO. OWNER �� Cl��121� �!i� ,��-'�� DESIGNER USE/NATURE OF WORK l �r/�'� ��j�C'�' ��1 ��r��° ��'�!,' - OFF �G� .S'f�frN6GG S� BUILDING CONTRACTOR C.��1�� C'�(uST�ZUC.�tc7�v Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. � Occupancy Permit� HEATING CONTRACTOR Heat ❑ A/C 0 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 �� rj �� FEES: Valuation �7 ��` Permit Fee Paid $ �'�° Park Dedication $ � ISSUED BY � Date �� Final/O.P. r� In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE –� �� -� ��3 j � � `� �GENTlOWNER �A� ADDRESS�LI � I..� • I �'I l /� �u� �"IZ. cS ` �JOt'��I TELEPHONE#