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OSHKOSH
Lot
PERMIT - APPLICATION AND RECORD
Address 55 13> q / dc-v ,¡' ~'7
Id. No.
Block - Ward- Subdivision
CITY OF OSHKOSH
Owner Tø ÞrJ 62-e z:oS
Zoning- Parkland Dedication Fee Height Permit
Plumbing 0 Sign 0 Wrecking 0 Fence 0'. Pool 0 Occupancy Permit Required Insp. [75ZazX!!!- ~ermit Date 8~/~ Vf?r
BUILDING Use 5"/7[/ e ¡:; #7/ /y (j2 G> S'
N~
21260
Nature of Work
Type of Permit:
General
Foundation
Siding
Type of Construction
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
W;dth alLot
No. o( Rooms
Sewer Fees
1
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
Piumbing Fees Total Fees
I ft.
I
1-
Carpenter
Architect
I-----.lt
l
I
----.It.-
Inspections -
Footing
Foundation
Switches
Volts
Recep's
Amps
Circ's
.3 Electric Service
a
~ Sewer-
D Final 1,d/3 ¡
Estimated Cosi\1- ~ 9'~ ~ cI'-(!:ì Fees Paid ß ç, C/'ðI ' Date
TO THE BUILDING IN ECTOR: In accordance with Section 7-18 of the Municipal Code of the City of Oshkosh, it is agreed Ihat if work shall be
discontinued for a period of 30 days al any lime for any cause after excavalionwork is commenced, a solid barrier, wall, orwire fence not less than
five feel in height shall be erected all around such excavalion. Such barrier. wall orwire fence will remain in pesition until removal is approved by the
Building Inspeclor. 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.
R.I.
HEATING CONTRACTOR
Fuel: Gas ~ Oil 0 Elec. 0 Solar 0 ' Soiid 0 '1
Conditioning Forced Air i¡¡:Þ H.w. 0 Elec. Base 0 Steam 0 Radiant 0
System High Elf. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss F'fi'." y-¡ h C7 System BTU Rating
/
";
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
Electrical Signs
(Signed)
Address Phone
By ~ ~/ - Agent
(A """" '9"""") ,\
Address 1/:27 W æ4 ~f:7" Phone ;2.f'S'":.'?o90
PERMIT NO~ IiI 'J..-¡; 0 APPL. DATE
ADDRESS .' g ßGYuh'r7
OWNER InVZq j?,..,r:5'
NATURE OF WORK . ~-ep/aC.e. hJ r' Ý/ ere..
HEATING CONTRACTOR li--ÝŸ"1er¡^Q:RH 1I-l7'
FUEL: rf!i) OIL ELEC SOLAR SOLID
~7; .~J?~'
CONDITIONING'jbRCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND,
CHIMNEY: "A" 'rJ§J DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS 1='--\fI'~J;'hGSYSTEM BTU RATINGJ"1 ~ .
MISC. /
INSP. ROUGHIN FINAL
EST. cosT~/9/;f?P'9ERMIT FEESf,.
REMARKS ;¡