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OSHKOSH
Lot
PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH N~ 2 1 752
Address / ?{Ij-o if) ckp r 7: /.-0 VI P- Owner Da Up }3:/ ~ (f-S-¿J/'l Id. No.
Block - Ward- Subdivision Zoning~ Parkland Dedication Fee Heig~ Flood Plain
Type of Permit: Building 0 Electrical 0 Heating œr Plumbing 0 Sign 0 Wrecking 0 Fence 0 Pool 0 Occupancy Permit Required Insp. -"" Permit Date /~.-
BUILDING Use .5/11 f /p- h //3;1,' 1:- ¿?~
Nature of Work
General Cont.
Siding
Type of Construction
Foundation
PLUMBING CONTRACTOR
Bu. San. Sewer ~ Curb to Bu.
Bu. St. Sewer Curb to Bu.
¡
Size:
~feetwide X
.feet long
Square feet area
Main to Curb:
Main to Curb
Height:
Stories and Basement
above Grade
Width of Lot
No. of Rooms
Sewer Fees
l
Mason
Water Service
Bath Tub Floor Drain
Wash Basin ~ Garbage Disp.
Water Closet ~ Dish Washer.
Kit. Sink Laundry Mach.
Water Heater ~ Water Soft.
Shower Bath ~ Bubbler
Plumbing Fees
Urinal
S. Sink
Catch Basin
- S. Pump~
B&SWaste~
Conductors
Total Fees
Carpenter
Architect
I-~t.-I
I
;
~t.
Inspections -
Footing Foundation
~ I Electric Service R.I.
.¡; Sewer Water Service
g- Final. /2. -/:¿ -'tS
HEATING CONTRACTOR
Fuei: Gas ~ Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 H.W. ~ Elec. Base 0 Steam 0 Radiant 0
System High Eff. 0 Supplementary 0 Air Condo 0 Ventiiation 0
Chimney: "A" 0 "B" ¡3' Direct Yent 0 Con. Burner 0 Flue pamper & E.I.D
Calculated Heat Loss IJ----'f ~f1I't!{/ f?dl System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
"1
Changes
Temp.
Estimated cosrl$ t:7-eJ. c--e:? Fees Paid ß r &'7:J v Date
TO THE BUILDING I PECTOR: In accordance with Section 7-18 of the Municipal Code oltha City of Oshkosh. it is agreed that if work shall be
discontinued for a period of30 days at anytime for any cause after excavation work is commenced. a solid barrier, wall, orwire fence not less than
live feetin height shall be erected all around such excavation. Such barrier, wallorwire fence will remain in position until removal is approved by the
Building Inspector. X .
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and ruies governing the described eünstrüction.
Amps
Circ's
(Signed)
Switches
Volts
Recep's
Bè
Owner
Phone
Agent
Eiectrical Signs
Phone
PERMIT NO. ~/)-/ 7 j2---- APPL. DATE': ... /t;/<?jr--ç-
ADDRESS ¡Kf)Ð J.!-¡,cktJr.¡ laMe..
OWNER Dt?ue ¡;-J J-e-:H~h
NATURE' OF WORK l1:t=r¡-f- / VI Î AI ec.U /-k/n. e--
HEATING CONTRACTOR (1) r J/ 1/1 r: r
FUEL: @ OIL ELEC SOLAR SOLID
CONDITIONING FORCED AIR 1f!w. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR CONDo
ri?:l;.. "':~" co,' ~ ~,~:"" ~~ :~~ 4 ""--,,,/
~~;~. CO~~~;~< ~PERM1T FE~~~}, ~{~;ç~~~/f¿
REMARKS
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