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~j~ PERMIT - APPLICATION AND REC~RD CITY OF OSHKOSH ~ . N~
Address ¿ / ¿J - u./ ~ Owner ~ #~ Id. No.
Lot Alock Ward SubdivIsion Zoning Flood Plain -
Type of Permit: Building 0 Electrical W Heatinç¡ 0 Plumbing 0 Sign 0 Wrecking 0 Occupancy Permit W-- Insp. ~ Permit Date / 0 ~ 7 -í[;!
14366
Nature of Work
BUILDING Use
General
Siding
Type of Construction
Foundation
Size:
_feet wide X
feet long
Square feet area
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
Height:
Stories and Basement
feet above Grade
Width of Lot
No. of Rooms
-----Ít.
Mason
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 ¡::OOQ Total Fees
Carpenter
Architect
-----Ít.
Inspections -
Footing
Foundation
R.I. 9 .-/ ~
~
.§ I Electric Service
0
cJc-
Estimated Cost '>fP n( 1')1 (I ~ Fees Paid 7' d§, ~ . Date
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipal Code o!the City o!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 fhan
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.
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
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss System BTU Rating
Sewer
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type -
Fixtures- />ลก..
Appliances
~
Owner
Switches
IX
Volts
Recep's
Address
Phone
By
Agent
(A",hori"d S;900'",')
Electrical Signs
Address
Phone
ITßt1IJ' NO. / ,ø'ç, Co -/-"'ffL. .J>ATE l' ~/ - g.3 --
ELEC. CONTR. ~ ~
OWNER. tR~ #~
~~~~'o, WOAA~ ~~~>
ELEC. SERVo NEW CHANGE
DESC. TYPE VOLTS
FIX' S ~ 5'ú/ ..k RECEPT'S"¿
APPLIANCES )
SIGNS
INSP. ROUGHIN '
EXT. COST
REMARKS
FINAL !-1'1j
. d& DATE PD -7-
'l'¡':M~
AMPS
CIRC' S Y