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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
31639
TYPE:
BLDG.:a;:HTG D ELEC D PLBG'D SIGN D ZONING - FLOOD PLAIN- HEIGHT-
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ADDRESS
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PLAN NO.
OWNER
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BUILDING CONTRACTOR
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Size 'e?1)1'120 Sq. F!.
Foundation ß::3y-r'<::::; f-
Class of Cons!.
Height
Occupancy Permit (¡> 'P t :;,
HEATING CONTRACTOR
8. c:u. fA. "- r-
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
S:~c.6r-
Electric Serv.
New D Change D Temp D
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
(<or 1<.
_BT
_WH
-Sh
_Disp
_DW
_WSoft
_DF
- CBasin
_Lav
- San. Sewer
_WC
_FDr
_LTub
_SP
_Ur
- Storm Sewer
_Sink
Other
_Eject
_SS
_Water
Park Dedication $
Final/O.P. / /5/13
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ISSUED BY
SIGNATURE
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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AGENT/OWNERl
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TELEPHONE.
ADDRESS
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JOB LOCATION:
Revise:!: 8/89
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ZONING/LAND USE COMPLIANCE CHECKLIST
d .y:i!l ZONING:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: _NEW CONSTRUCTXM
~ARKING LOT
_ALTERATION
_ADDITION
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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COMPLIANCE CHECKl.IST (Check on 1 y those app I i cab Ie)
DEFICIENCY /COMMENTS
COMPLIES
DEFICIENT
I
REVI Ii AUTHORITY:
The D¡rector of Co
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fra'It yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Pariting Spaces
Building Area
Lot Area Per FamUy
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
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mnunity Oevelopment, or designee, must approve all plans, except the
following: (1) Alterations or interior work when the use is conforming and when no cha!1ge
in use is proposed. (2) /~aintenance items i e.g. sid.ing, windows, etc., when the use is
conforming and when no change is proposed.
Instances where worit complies with the above criteria, the permit can be reviewed by the
Building Inspector without refe.rral to the Director of Community Development, or designee.
- APPROVED
- Plan Comnission Action Required
- Variance(s) Required
REVIE1"ED BY:
DENIED
DATE:
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