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� CITY OF OSHKOSH �f,c a�,��No 109489
OSHKOSH BUILDING PERMIT -APPLICATION AND RECOI�D�20��
ON THE WATER ' '>
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Job Address 316 MERRITT AVE Owner MR/MRS TODD D SCHULTZ Create Date 07/22/2004 '
Designer Contractor GOLDCARE LAWN SERVICES/REMODELING
Category 141 -Exterior Remodeling Plan
Type � Building � Sign � Canopy 0 Fence � Raze _J ;
Zoning Class of Const: Size
Unfinished/Basement 0 Sq.Ft. Rooms 0 Height 0 Ft. � Projection I
Finished/Living 0 Sq.Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq.Ft. Baths 0 Signs 0
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature FR/TEAR OFF&REPLACE EXISTING ROOFING ON HOUSE
of Work
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i
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,550.00 Plan Approval $0.00 Permit Fee Paid $50.00 Park Dedication $0.00
Issued By: /�'J� Date 07/22/2004 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id#0402860000
;
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 perrnit appiication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any neces ry approvals before starting such activity.
Signature Date �o�
AgenUOwner
Address 195 MARQUETTE ST FOND DU LAC WI 54935 - 0000 Telephone Number 920-379-2132
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.
No109489
CITY OF OSHKOSH
OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
MR/MRS TODD D SCHULTZ
Job Address316 MERRITT AVEOwnerCreate Date07/22/2004
DesignerContractorGOLDCARE LAWN SERVICES / REMODELING
Category141 - Exterior RemodelingPlan
TypeBuildingSignCanopyFenceRaze
ZoningClass of Const:Size
Sq. Ft.Projection
Unfinished/Basement0Rooms0Height0Ft.
Finished/Living
0Sq. Ft.Bedrooms0StoriesCanopies0
Garage0Sq. Ft.Baths0Signs0
Poured ConcreteFloating SlabPierOther
Foundation
Concrete BlockPostTreated Wood
Occupancy PermitFlood PlainHeight Permit
Park Dedication# Dwelling Units0# Structures0
SFR / TEAR OFF & REPLACE EXISTING ROOFING ON HOUSE
Use/Nature
of Work
HVAC ContractorPlumbing Contractor
Electric Contractor
Fees: Valuation$5,550.00Plan Approval$0.00Permit Fee Paid$50.00Park Dedication$0.00
07/22/200400/00/0000
Issued By:DateFinal/O.P.
Permit Voided
Parcel Id #0402860000
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
195 MARQUETTE STFOND DU LACWI549350000920-379-2132
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.