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~ PERMIT - APPLlC~TIO,N AND RECORD CITY OF OSHKOSH N~
,--~~~~- Address 6/6 I.-U Lrvll4j Owner ~-- a ¡!¡{"fi-W'k Id. No.
Lot Alock Ward Subdivision Zoning - Flood Plain ; -;;¡:i
Type of Permit: Building 0 Electrical 0 Heating 0 Plumbing,B- Sign 0 Occupancy Permit Insp. ¿:£;~ Permit Datet('~""
Nature of Work /~ BUILDING Use
General
13235
Siding
Type of Construction
Foundation
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
,feet above Grade
Width of Lot
No. of Rooms
Sewer Fees
l
Mason
Water Service
Bath Tub Floor Drain Urinal
Wash Basin - Garbage Disp. - S. Sink
Water Closet - Dish Washer - Catch Basin
Kit. Sink I Laundry Mach. - S. Pump -
Water Heater - Water Soft. B & S Waste -
Shower Bath ~ Bubbler ., Conductors
Plumbing Fees 3 ~ a.. '>ò//,Ç, Y ,fr~ Total Fees
Carpenter
Architect
,--_ft.
l
1
~t,-I
Inspections -
Footing Foundation
~ \ Electric Service R.I.
% Sewer Water Service
Q
Final
2/io
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
Calè'J¡ated Heat Loss System BTU Rating
"1
Estimated Cost /' ðérð ------ Fees Paid 7 .,<7
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 olthe Municipal Code of the City of Oshkosh, it is agreed that if work shall be
discontinued for a period 0130 days at anytime for any cause after excavation work is commenced, a solid barrier, wall, or wire tence not less than
five feet in height shall be erected all around such excavation. Such barrier, wall or wire fence will remain in position until removal is approved by the
Building Inspector.
ELECTRIC CONTRACTOR
Eiectric Service: New
De~ê;ription-Type
Fixtures-
Appliances
Changes
Temp.
X
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.
Switches
Volts
Recep's
Amps
Clrc's
(Signed)
Address Phone
By t><f.f.Mo';"~ f! 4 Agent
Electrical Signs
Address
Phone