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No107465
CITY OF OSHKOSH
OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
OSHKOSH PANTRY 41 LLC
Job Address3700 JACKSON DROwnerCreate Date04/15/2004
DesignerContractorOWNER
Category216 - Addition Service Stations and Repair GaragesPlanI5-52-0603
TypeBuildingSignCanopyFenceRaze
C-2
ZoningClass of Const:VBSize1633
Sq. Ft.Projection
Unfinished/Basement0Rooms0Height0Ft.
Finished/Living
0Sq. Ft.Bedrooms0StoriesCanopies0
Garage0Sq. Ft.Baths0Signs0
Poured ConcreteFloating SlabPierOther
Foundation
Concrete BlockPostTreated Wood
Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required
Park DedicationNot Required# Dwelling Units0# Structures0
C Store /1633 sq ft car wash addition. Renew permit for work not completed under previous permit # 103064. State Transaction ID # 831405.
Use/Nature
of Work
HVAC ContractorPlumbing Contractor
Electric Contractor
Fees: Valuation$110,000.00Plan Approval$0.00Permit Fee Paid$394.00Park Dedication$0.00
04/16/200400/00/0000
Issued By:DateFinal/O.P.
Permit Voided
Parcel Id #1527180000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
SignatureDate
Agent/Owner
OshkoshWI549010000
Address-Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.