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HomeMy WebLinkAbout0118250-Building (roof) 01" of Oshkosh 'nspmlon Services Dhlslon POBo' j JO "'hkosh. \\'1 5490J-1 ] JO r't~2(~)2~~:::¿:~50 Roofing & Siding Permit Application ~ O{H<.Q,[H JOB ADDRESS :(4CBOobj 9}\. Ofl/¿/(/JrA; ÚJ / /54402 O\\'ER49 OIl/tilt} CO.,TRACTOR 1JK/fJ £ !IV~ ' r am the: 0 Owner OR Ii Contractor L'SE CATEGORY tØSingi. Family ODupl<x OMulti.F.rnily O;,.n<31 OCommorcial Olndu,:rio' Work being done: ROOFING \i(T.ar offand r<plaer «is:ing roofing on ß«hous<. 0 garage Q\Í R.plaer wood d<cking 0 Add 1 layer of roofing to the e.<is!lng ThIS work IS being done due to 0 Hail Damage layer(s) on 0 house. 0 garage rgfOther~njjct~ 17) h: }fJ¡J{{{I/riJ' SIDING 0 InStall siding on 0 house, 0 garage 0 Replacing vinyl with vinyl 0 ReplaCIng s",1 or aluminum with vinyl (circle Steel or aluminum) 0 Replacing with ThIS work is being done due:o 0 Hail Damage 0 Other Wben siding is done, one of tbe boxes below must be cbecked: I) 0 Electric - ExiSting EleCtric Meter, receptacle, ligh!lng and EleCtric Service entrance alteralionslmodifica!lons are b<lng perlOm1<'O D.' ",,'" or '",n,,' EI".i, CO""""" dlli2 .: Electric InStallation Verification form is attached Qß Sep"ate Elect Permit will be re~uC5"d 1) 0 EJewic - Nol Applicoble because: J Blocks previously instelied. No outside lights, - Other ::; Ins<311 new or 0 Replac, gUtters ::; 1.';<311 new or 0 Replace downspouts Other related work being done: (please note) lalue of the job S 1&/)20 00 (include fair market prier for labor even if you are not paYing for labor) , 'pl¡callonISJ and feels) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128. Oshkosh WI ;.9Ù).1125 í'mmencing work without permil(s) will result in fees being doubled or 5100.00 plus the normal permit fee. whICh ever IS gr<at" OR "'0" a!"e a conc!"accor "~d.. check he!"e if ou Permit Fee'Accounc S seem and chrou h our account ave adequate