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0005798-Building (porch/siding/patio door)
-" .~ '; CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 05798 ctJ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG)8C HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN - HEIGHT- TYPE: ADDRESS A BALDIA1\~ Âcvl{£ . OWNER ~1oN'v'>--S ~ R€\<:;~ïZ.... PLAN NO. DESIGNER ¡;;VCLOS-<h¡ ST¡-v<.. ~7/o ])OO.Æ- BUILDING CONTRACTOR A /..J fè ¡VJs ßu I LIJ é-f"-S Size ! () 'x I Ç-I Sq. Ft I Su # Rooms I # ¥9ries Foundation £x:rS7íuc. f;-OrT W+t-'--- Ciass of Canst t1- 8 I Height;A.ö ~Á.. Occupancy Permit í ß#¡7WIU{) HEATING CONTRACTOR Ua UI'íA ífU) ~v/IA Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Cv UMrNC,..S' Eiectric Servo Fixtures New 0 Change 0 Temp 0 Type- Voits- Amps- Switches Receptacies Circuits _BT _WH _Sh ,AJOAf4...- _Disp PLUMBING CONTRACTOR _Sink Other _FDr _LTub _DW _SP _WSoft _DF - CBasin - San. Sewer _Lav _WC _Ur - Storm Sewer _Eject _SS _Water Permit Fee Paid $ I /0 i lo-Cì-ó7 Park Dedication $ Final/OP. ,,{j fA- ISSUED BY Date In the performance of this work I agree to perform ail work pursuant to ruies governing the described construction. SIGNATURE --:ßz~ ~ AGENT/OWNER /ð/t¡'/ r?7 , OATE ADDRESS 6.~ J'S T ~4 C/ /f3cL ~ t5J>? - õI. L./ ~ 41 TELEPHONE # III ~ --"' III. IV. ZCJNn1G/!.A.'I;l] L'SE CO~1PLIANŒ æECKLIST I. GENERAL BuiJ.dinq Pemit ¡¡ ð[;79¡¡ zoningC/7 Confoming- Non-Confoming- Job Iocation 8 B<-.\LDwrAl AJ€. , to!: Dilrension Property Owner T~j - eELSt::. tot Area . a::NS'l'Rtn'ICN DATA ' ~ t'brk:~~c..c...afll: ~'><:( sn\.!«..- ~,~r.j) ¡fJ~ ,AI ;:::~ ò.c t ¡DUN: ~ to IX ;,,- ¡ - - NEH. a:œrm:TICN - J\DDITICN - ~><, AtIlERATICN tt. - AccessoJ:Y Building - Fence - Boathouse - Utility Str\Jct:ure - Other (specify) - Pool - Deck/Patio --:. Sign _Porch, :><::'.$ihqlë Family- - 'l\;c-F¡¡múJ.:r - MiIti..,.Pamily - CI:mne,-'"C;ial, - MãñÌlfact~ ~ æJ?X:KS Carclies Deficient .-/ ~ -::::-- ~ ~ ~ -~ ~- y -/ ~- Use tot Width tot Area Floodplain - Fl:ont Yard Rear Yard Side Yard (R) Side Yard (L) PaDdng Building Area tot Area per Family Comer tot Other (specify) Deficiency /Carlœ!nts REVm'1 AUTHORITY The Planning Dire--:-or, or appropriate designee, must approve all plans, except the following: (1) Alterations or interior \lóCrk Wen the use is oonfoming and Wen 110 change of use is proposed. (2) Maint:enalice items, e.g;i"~ winåc<ß~ etc., Wen the use is c:onfo:cning and when rD chan<ge or. 'use is prcpo.s.ed-... Instances wheœ =rk catplies with the a.!:ove =ita:ia, t:ti.e. p$::mit ~- ,be rëvie.-.'ed by the Building Inspector without referral to the Planning Direcmr. -PPOOVED NCYl' APProvED - Plan Cœmission Action Required =:~.:~ /~ '»iT», (of? If?