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17483
~
QSHKOSH
Lot
PERMIT - APPLICATION ~RECORD CITY OF OSHKOSH N~
Address ~ :SO7Y{ A R-vr c.lØ1-¿ ~/ Owner /~d#~<l £ '<);ï;.øê' ""?::;: Id. No.
Alock Ward Subdivision Zoning Height per¿ Flood Plain
Type of Permit: Building 0 ElectricalD I-I",,';nn n PllJmhinaJil! Sion 0 Wreckinq 0 Fence 0 PoolD Occupancy Permit Insp.- Permit Date
Estimated Cost 717-0 ~ Fees Paid
TO THE BUILDING INSPECTOR: In accordance with Section 7-180f the Municipal Code of the City of Oshkosh, ii is agreed ¡hat if work shall be
discontinued for a period of30 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 beerecfed all around such excavation. Such barrier, wall orwire fence will remain in position uotilremoval 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 rules governing the described construction.
Address ~ g~Æ Phone
By ,?",- d Agent
(AcU""'" S;90"c,,)
Nature of Work
5~
4/{.
BUILDING Use
General Cont.
Foundation
Size:
_feet wide X
feet long
PLUMBING CONTRAF.TOR
Bu. San. Sewer ~urb to Bu.
Bu. St. Sewer Curb to Bu.
Height:
Stories and Basement
Main to Curb:
Main to Curb
Width of Lol
Sewer Fees 7-
3. cr-o
l
Water Service I r. t'"O¡O~
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 "",," Totai Fees
.----11.-1
,-.----11.
HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Eiec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 H.W. 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
"1
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
Amps
Circ's
Volts
Recep's
(Signed)
Switches
Electrical Signs-
Address
Siding
Type of Construction
Square feet area
above Grade
No. of Rooms
Mason
Carpenter
Architect
Inspections -
Footing Foundation
~ I Electric Service R.I.
Water Service
í Sewer
Q
Final
/Ó~
Phone