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PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH N~
Address c;( / ~ w /,fff (2v-.e Owner Ô;,----zt'uJ /I) ~~ Id. No.
Ward Subdivision ZOning~ Flood Plain
Plumbing 0 Sign 0 Wrecking 0 Occupancy permit~ Insp.' ¥~¿ Permit Date",-5-5' - r/
BUILDING Use /~ß. ~ /1.R<Z~~.ç'
General Cont.
6909
(Ï)
~
Lot ~
Type of Permit:
Nature of Work
Siding
Type of Construction
Roof
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 ofLot
No. of Rooms
Sewer Fees
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
l
Carpenter
Architect
1- ft.
l
~
Inspections -
I-~t.-I
~t.-I
Footing
Electric Service
Foundation
.3
R.I.
HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec.D Solar 0 Solid 0
Conditioning Forced Air 0 HW.D 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
l
~ I Sewer
g-
" Final
Water Service
tj-~ to -ìf;;--
Estimated Cost ~ n ~ Fees P~d ---Ii ,s¡Y, YlJ Date MAR q 1981
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.
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.
ELECTRIC CONTRACTOR
Elec.'tric Service: New
Description-Type
Fixtures.~
Appliances
Temp.
Switches ¿....--
Volts
Recep's z....---
Amps
Clrc's
(Signed)
Signs
Addres~ ~ Agent
By ~hOCI"d S"o,,",,)7
Address
. -".'
PERMIT NO. -:/;¡>(¡ crt) ,'1
ELEC. CONTR. a i!i(7J7'4--r
x..1'
OWNER d@l/I-:?7i',(,,( ....,pþ
ADDRESS 11 b Ct./) Hf..L ~-~
NATURE WORK
APPL. DATE '5 - 7- t /
/Lv,
ELEC. SERVo
DESC. TYPE
FIX r S V
APPLIANCES
,
NEW
SW'S¡/'
CHANGE
VOLTS ,
RECEPT I S ¡/
TEMP,
AMPS
CIRC I S¿,,/"
SIGNS
INSP. ROUGHIN - - 0
EST. S "
REMARKS
SERVICE
PERMIT FE