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Address
PERMIT - APPLICATION AND RECORD
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CITY OF OSHKOSH N~
Owner ;P t2 r~r Vel v "v'9¿ "". c. f- e ,-- Id. No.
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6390
(i)
-
Lot
Type of Permit:
Wrecking 0
Occupancy Permit
Zoning
Insp.
Flood Plain
Permit Date
Nature of Work
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Ward Subdivision
Plumbing)'f- Sign 0
Block
Building 0 Electrical 0
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BUILDING Use
General Cont.
Siding
Type of Construction
Roof
Foundation
PLUMBING CONTRACTOR -...j DI)r¡.....
Bu. San. Sewer - Curb to Bu. t;j"
Bu. St. Sewer Curb to Bu.
e: vv "-.
Size: - feet wide X
feet long
Square feet area
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Main to Curb:
Main to Curb
Height:
Stories and Basement
feet above Grade
Width of Lot
No. of Rooms
Sewer Fees
~ (!) D
I-----ft.
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&SWaste-
Shower Bath- Bubbler Conductors -
Plumbing Fees Total Fees
Carpenter
Architect
-----1t.
Inspections -
Footing
Foundation
~oD
HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 HoW. 0 Elec. Base 0 Steam 0
System Gravity 0 Supplementary 0 Air Condo 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0
Calculated Heat Loss System BTU Rating
Water Service
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Estimated Cost ~~CJ () Fees Paid <3 - 0 7) - Date / if/ò /F C)
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipal Code of the City of Oshkosh. it is agreed that if work
shall be discontinued for a period of 30 days at any time 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 orwire fence will remain in position
until removal is approved by the Building Inspector.
l
~ I Electri.c Service
05 Sewer
e-
o Final
RI.
ELECTRIC CONTRACTOR
Electric Service: New
Description-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
Circ's
(Signed)
Signs
Address
By
Agent