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Lot
Address
PERMIT - APPLICATION AND RECORD
eX r::( ¡;z ~ ~ / V- /é¿( (?~-
CITY OF OSHKOSH N~
Owner ~~ ~~ ~~,z.þ f Ide No.
7863
Type of Permit:
Heating D
Plumbing D
Wrecking D
Occupancy Permit ì'U.,
Zoning
InsØ'.
Flood Plain
Permit Date ~ -iI
Ward
Subdivision
Sign D
General Cont.
.~Jlt'f~-V~ 'U~ A~~ e
Nature of Work
~~
BUILDING Use
Siding
Type of Construction
Roof
Foundation
Size: - feet wide X
feet long
Sq uare 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 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 Laundry Mach.~ S. Pump
Water Heater_Water Soft. - B & S Waste -
Shower Bath- Bubbler Conductors -
Plumbing Fees Total Fees
Carpenter
Architect
~t.
l
1
-.-----11.
Inspections -
Footing
Foundation
ELECTRIC'CONTRACTOR
Electrib Service: New
Description-Type
Fixtures ~
Appliances
à Electric Service
>->
~ Sewer
"
" Final
Estimated Cost ~_S l) ..><--- Fees Paid '-tf /Ö..!!:iJ-" Date JUl 11981
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 olthe Municipal Code of the City ofOshkosh. it is agreed that if work
shall be discontinued lor 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 live 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.
R.I.
¡;~~
HEATING CONTRACTOR
Fuel: Gas D Oil DElee. D Solar D Solid D
Conditioning Forced Air D HW. DElee. Base D Steam D
System Gravity D Supplementary D Air Condo D
Chimney: "A" D "B" D Direct Vent D Con. Burner D
Calculated Heat Loss System BTU Rating
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
(AoI"";,,d S;go"" )
Address
Agent
PERMIT NO. "* 1 (Ç¿ '5 .' APPL. DATE 6-/ £ -if /
::~ CON~Æ1ft' ~
~~~~~~S OF ~~-Z:~~~~
ELEC. SERVo NEW CHANGE
DESC. TYPE VOLTS ,
FIX'S~ .5w" 3 RECEPT'SY
APPLIllliSES
SIGNB
INSP. ROUGH IN t1. ;if-?-! SERVICE
EST. COST ~ c;() ~ PERMIT FEE
REMARKS
TEMP.
AMPS
CIRC'S::'"
FINAL 6-;2.-'7:;-
DATE PD.
jilt 1 19B1
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