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PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH
I). 8 We j£f Ìh :/T. Owner L) 51), o-¡¡-
N~
14995
Building 0
Eiectrical 0
Wrecking 0
Occupancy Permit
Zoning ~ ê
Insp. -
Id. No.
Flood Plain
Permit Date¿
Lot
Type of Permit:
Block
Ward
Heating IjZD Plumbing 0
Subdivision
Sign 0
Nature of Work
BUILDING Use
General Cont.
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
.-----1t
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
Piumbing Fees Total Fees
Carpenter
Architect
.-----1t. -'
Inspections -
Footing-
~ I Electric Service
,5 Sewer
g
Final
Foundation
R.I.
HEATING CONTRACTOR I ~ e-Ia,
Fuel: Gas \Jõ Oil 0 Eiec. 0 < Soiar 0 Solid 0 ~
Conditioning Forced Air 0 H.W. 0 Elec. Base 0 Steam 0 Radiant 0
System High Eft. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. ~
Calculated Hellt Loss System BTU Rating
"1
Estimated cos~ q cPa O?:/ Fees Paid j. ttJ(!:)
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipal Code of the City of Oshkosh. it is1;greed 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 or wire fence will remain in position until removal is approved by the
Building Inspector.
X
In the performance ofthis work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
ELECTRIC CONTRACTOR
Eiectric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
Switches
Volts
Recep's
Amps
Circ's
(Signed)
Address
By
Address
Phone
Agent
Electrical Signs
Phone
.:tl
PERMIT NO. /£jC¡9Ç APPL. DATE
ADDRESS J éJ-?r tv, /~ lh
1/. '9 &ho IT
- I
1ft)/"
Tr-e/q ;¿~;'1Tý'Jer
ELEC SOLAR SOLID
/ J.;//~/~-=5
151--
OWNER
NATURE OF WORK
HEATING CONTRACTOR
FUEL: & OIL
CONDITIONING' ~RCED AIR H. W. ELEC. BASE STEAM
SYSTEM '.' GRAVITY SUPPLEMENTARY AIR CONDo
CHIMNEY: "A" "B"
CALCULATED HEAT LOSS
MISC.
INSP. ROUGH IN FINAL
EST. COST!-30Ci- OePERMIT FEEs5:
REMARKS '
DIRECT VENT CON. BURNER
SYSTEM BTU RATING