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Lot ~
Type of Permit:
PERMIT - APPLICATION AND RECORD'
i'l..s-s- úJ. 3&/
CITY OF OSHKOSH
Owner '1~Lf R J.:£
Address
Block
Ward
Subdivision
Sign 0
Wrecking 0
Building 0
Electrical 0
Heating
Plumbing 0
BUILDING Use
~,
General Cont.
Roof
Siding
Type of Construction
Foundation
Size: - feet wide X
feet long
Square feet area
Height:
Stories and Basement
above Grade
Width olLot
No. of Rooms
l
Mason
Carpenter
Architect
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I
I
Foundation
---'t-
Inspections -
Footing
.3 Electric Service R.I.
~ Water Service
~
"
~
Estimated Cost A..r-O <--- Fees Paid Date
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 ofthe Municipal Code of the City of Os kosh, it is agreed that if work
shall be discontinued for a period of30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, orwire
fence not less than five feet in height shall be erected all around such excavation. Such barrier, wall orwire fence will remain in position
until removal is approved by the Building Inspector.
<1
X
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)
Add res. s ~ ~ Agent
J ~~ ~
By (A",holl, 9 ;J<
Address
Occupancy Permit
Zoning
Insp.
Nature of Work
~
N~
3289
Id. No.
Flood Plain
Permit Date /pl!"
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
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
Sewer Fees
e~
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures -
Appliances
Changes
Switches
Volts
Recep's
Temp.
Amps-
Circ's
PERMIT NO. 3 ¿ R-'1 APPL. DATE ~/ 3 / ,;- 0
/
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OWNER ~J ~ þ:t;
NATURE OF WORK ~ ~
HEATING CONTRACTOR ~ ¥~
FUEL: & OIL ELEC. SOLAR
CONDITIONING I FORCED AIR j H.W. ELEC. BASE. STEAM
SYSTEM I GRAVITY SUPPLEMENTARY AIR CONDo
ADDRESS
SOLID
CHIMNEY: "A"
CALCULATED HEAT LOSS
MISC.
INSP. ROUGH IN
EST. COST J.s-o ø:-
REMARKS
"B"
DIRECT VENT CON~BURNER
SYSTEM BTU RATING
FINAL
PERMIT FEES ;? ~
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