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OSHKOSH
Lot
Address
PERMIT - AP~LlCATION AN_D RECORD CITY OF OSHKOSH ~
Jy) ¿;-/~~~~ Owner J)~ U ~'Y1
, r
Block - Ward~ Subdivisi Zoning---- Parkland Dedication Fee
Fence 0 Pool 0 Occupancy Permit Required
N~
22717
Heigh~
Insp.
Id. No.
Flood Plain
Permit Date ¡ - ~
Type of Permit:
Building 0
Nature of Work
BUILDING Use
y~
General Cont.
Foundation
Siding
Type of Construction
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Size:
_feet wide 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
I----ft.-I
Mason
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
Carpenter
Architect
----1t-1
Inspections -
Footing Foundation
Electric Service ) ()~).2 .y~.1. / ¿') -<;1 - F7-
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 Elf. 0 Supplementary 0 Air Condo 0 Ventilation 0
----6t'1i1o1Irey. "A" 0 ooB" 0 Di,ec¡-\teIlIO Curl. Burrier 0 Flue Damper
Calculated Heat Loss System BTU Rating
4
Sewer
ELECTRIC CONTRACTOR ~
Electric Service: Ne\V ~ Cha~es
Description-Type '1 - '-<--' ~ U Volts
Fixtures K Switches V Recep's
Appliances
X
, In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
Temp. / IJ-"C- codes, and rules governing the described construction.
/ ::LCV~O Amps..2.c9 0 .
r><: Circ's <. X (Signed)
Address Phone
By {~"""~ ~ ¡¿¿Ç ~ ~ Agent
Address Phone
- 51'5
Estimated Cost~ ,J"tCð c:..::- Fees paid/' 7c9 .:::..::. i -- Date 1- 9 - 156
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipal Code olthe City of Oshkosh, it is agreed that ilwork shall be
discontinued lor a period 0130 days at anytime 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 or wire tencewill remain in position until removal is approved by the
Building Inspector.
Electrical Signs
OWNER
ADDRESS
NATURE OF WORK
v--<A--.
E EC. SERVo
D SC. TYPE
FIX'S
APPL ANCES
NEW ~
'-V V
CHANGE
VaTS '~
RECEPT'
TEMP.
qcd AMPS dO
CIRC'S
..¿
SIGNS
INSP. ROU HI
EST. COST :.J'
REMARKS
~9 - SERVICE -/¡)-;XPl FINALd.~/ or.;::,
00 ~ PERMIT FEE DATE PD. -'?-zr:;
-~ -- 0 - - -----~