HomeMy WebLinkAbout0017924 E
PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH ,/Ì ./
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Zoning Height Permit
Occupancy Permit ~ Insp. ~
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OSHKOSH
Lot-
Type of Permit: Building D
Address
Ward
Piumbing D
N~
17924
Id. No.
Fiood Plain
Permit Date/l"9'~..1..g~
Sign D
Subdivision
Wrecking D Fence D
Pool D
Block
Electrica!fl( Heating D
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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
HEATING CONTRACTOR
Fuel: Gas DOli D Elec. D Solar D Solid D
Conditioning Forced Air D H.W. D Elec. Base D Steam D Radiant D
System High Eft. D Supplementary D Air Condo D Ventilation D
Chimney: "A" D "B" D Direct Vent D Con. Burner D Flue Damper & E.!. D
Caiculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New Changes
DescriPtion-TB<
Fixtures Switches Î><--...
Appliances
Volts
Recep's
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Electrical Signs-
BUILDING Use
General Cont.
Roof
Siding
Type of Construction
Foundation
Size:
_feet wide X
feet long
Square feet area
Height:
above Grade
Stories and Basement
Width of Lot
No. of Rooms
~t
Mason
Carpenter
Architect
~t_'
Inspections -
Foundation
Footing
~ I Electric, Service
~ Sewer
Q
R.!.
4
Water Service
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Estimated Cost '{ff Jlj .~ Fees Paid ' . .~ Date '¿J ~ 5- 0
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipal Code olthe City of Oshkosh, it is agreed that il work shall be
discontinued for a period 01 30 days at anytime lor any cause a«erexcavation work is commenced. a solid barrier, wall, or wire fence not less than
five feet in height shall be erected all around such excavation, Such barrier. wall or wire lencewill remain in position until removal is approved by the
Building Inspector.
FinRI
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)
"Addr~
By " C ,"d'f:,C:: ~~ Phone
Agent
Address
Phone
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ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
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CHANGE
VOLTS
RECEPT' S <::<;
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AMPS
CIRC'S K
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ELEC. SERVo
DESC. TYPE
FIX'S "<-
APPLIANCES
NEW
SIGNS
INSP. ROUGHIN
EXT. COST
REMARKS
FINAL g--;ZO¡-$t-
DATE PD. '&-3-:87"