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§~
-~~-~~ Address
PERMIT - APPLICATION AND RECO~D JY OF OSHKOSH ~.
& 7 7 - ~ 7 ;7-17- VV 3. Owner ~ ~/j
Block Ward Subdivision
Lot
Type of Permit:
Building 0
Nature of Work
PLUMBING CONTRACTOR
Bu. San. Sewer ~ Curb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
Sewer Fees
Water Service
Bath Tub Floor Drain Urinal
Wash Basin ~ Garbage Disp. - S. Sink
Water Closet ~ Dish Washer --'-- Catch Basin
Kit. Sink Laundry Mach. - S. Pump -
Water Heater ~ Water Soft. B & S Waste ~
Shower Bath ~ Bubbler Conductors
Plumbing Fees Total Fees
N~
14575
Id. No.
Zoning Flood Plain
Insp. ~ Permit Date / ð-~...,,-.'g::,
Wrecking 0
BUILDING Use
General Cont.
Sign 0
HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 HW. 0 Elec. Base 0 Steam 0 Radiant 0
System High Eft. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss System BTU Rating
~Y.
ELECTRIC CONTRACTOR.
Electric Sp1vice: New~
Description-Type 2- 'V -
Fixtures- ~
Appliances
~
- Temp.
Volts I~....o
Recep's ~
Electrical Signs
Roof
Foundation
Siding
Type of Construction
Size:
~feetwide X
Height:
Stories and Basement
Width of Lot
3
l
~
1
I
----It. -I l
~
----x
ì
I
feLt.
Estimated Cost
Fees Paid
feet long
----It.
Square feet area
.feet above Grade
No. of Rooms
Mason
Carpenter
Architect
Inspections -
Footing Foundation
Electric servicf.1-7-lfJ R.I.&'" :2-5" -8)
Water Service
CJ .-;;;2. G - ¡¡-
Date LtJ '- ;2..ø- g 3
TO THE BUILDING iNSPECTOR: In accordance with Section 7-18 o!the Municipal Code of the City ofOshkosh, it is agreed thaI if work shall be
discontinued tor a period of30 days at anytime foranycause after excavation work is commenced, a solid barrier, wall, orwire fence nol less than
five feet in height shall be erected all around such excavation. Such barrier, wall orwirelencewill remain in position until removal is approved bylhe
Building Inspector.
in the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
(Signed)
eLF,
By
Address
Phone
Agent
Phone
PERMIT NO. ¡if i' 7.5 APPL. DATE 1) -;J-f- - ?';J
~;;CO'T". ~ ç;/~
:::::" to 7) ~ tÞ:~~.
NATURE OF WORK ,?- ~ ~
ELEC. SERVo NEW CHANGE
DESC. TYPE.3 -'-{fi/ - VOLTS
FIX'S RECEPT'S
APPLIANCES ... ,tJ /..L..
SIGN",
INSP. ROUGHIN
EXT. COST'
REMARKS
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