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PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH
/}èJ¿ ßalclÚl/H Owner l1at"/ðn Har-'t/ry
Block - Ward- Subdivision Zoning- Parkland Dedication Fee Height Permit-
Plumbing 0 Sign 0 Wrecking 0 Fence 0 Pool 0 Occupancy Permit Required Insp. ~~~
N~
19749
~
OSHKOSH
Lot
Id. No.
Flood Plain-
Nature of Work
Permit Date
Type of Permit:
BUILDING Use
General
Siding
Type of Construction
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
above Grade
Width oILot
No. of Rooms
----ft.
Mason
Sewer Fees
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
Inspections -
Footing
Foundation
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
3 Electric Service
ï I i Sewer Water Service
I I "Final 6 ~r'7.5-;rG"'
Estimated Cost j ~. P't:J Fees Paid I!r. 0t:7 .¡ Date ¥'1l-.¥yr
TO THE BUILDING IN rECTOR: In accordance with Section 7.18 althe Municipal Code afthe Clly ofOshkosh, It is agreed that if work shall be
discontinued for a period 01 30 days al any time for any cause after excavation work is commenced, a solid barrier, wall, or wire fence nalless than
five feetin height shall be erected all around such excavalian. Such barrier, wallarwire fence will remain in position until removal is approved bylhe
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.
R.I.
HEATING CONTRACTOR
Fuel: Gas ¥b Oil 0 Elec. 0 ' Solar 0 Solid
Conditioning Forced Air Ø' HW. 0 Elec. Base 0 Steam 0 Radiant 0
System High Elf. ~ Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 r Direct Vent J8P Con. Burner 0 Flue.D,amper & E.I. 0
Calculated Heat Loss ¡;- 't< 5 1-/" /' System BTU Rating L§7 ~
Switches
Volts
Recep's
Amps
Circ's
(Signed)
Address ~ Phone
By {AO~~ tl ( .:; Agent
Electrical Signs
Address
Phone