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'-,,_c~¿~ Address
PERMIT - APPLICATION AND RECORD
9' ¿9 é-~~ - (3 ~~
Lot
Type of Permit:
Block
Ward
CITY OF OSHKOSH ~
- Owner #~
Subdivision
N~
15397
Building D
Electrical"
Sign D
Wrecking D
Occupancy Permit
Zoning
Insp.
~
Ide No.
Flood Plain
Permit Date.:z. -,/¿9.~8 4/.
Nature of Work
u./~
BUILDING Use
General
Roof
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
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 & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
Carpenter
Architect
~t
I
~t.
Inspections -
Footing
Foundation
R.I..:A~ 7-- F'L
ลก I Electric Service
'õ
HEATING CONTRACTOR
Fuel: Gas D Oil D Elec. D Solar D Solid D
Conditioning Forced Air D H.w. D Elec. Base D Steam D Radiant D
System High Eft. D Supplementary D Air Condo D Ventilation D
Chimney: "A" D "B" D Direct Vent D Can. Burner D Flue Damper & EI. D
Calculated Heat Loss System BTU Rating
"1
t- Sewer
0 Final / :3 - 1-lJ$;
e7 ~ð ~' Date ~ -jéJ - ?y
Water Service
Volts
Recep's
~
Estimated Cost JØ / "') /:;;0 Fees Paid
TO THE BUILDING INSPECTOR: In accordance with Section l.tBolthe Municipal Code ollhe City 01 Oshkosh, it is agreed that ilwork shall be
discontinued for a period of 30 days al anytime for any cause after excavalion work is commenced. a solid barrier, wall, orwire fence not less than
live feel in heighlshall be erected all around such excavation. Such barrier, wall or wire fence will remain in pos~ion until removal is approved by the
Building Inspector.
ELECTRIC CONTRACTOR /:;¿¿
Electric Service: New J><, Changes'
Description-Type i,5 --- 4/< ~ r9 &--
Fixtures K Switches ~
Appliances
n 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.
(Signed)
By
Owner
Phone
Agent
Electrical Signs
Address
Phone