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Lot -
Type of Permit:
Address
PERMIT - APPLICATION AND RECORD
S30 ~~~
CITY OF OSHKOSH
Owner C. ¡:),
(!tZ~J?
Sign 0
Wrecking 0
Occupancy Permit
Zoning.
Insp. e \ -
N~ 6235
Id. No.
Flood Plain
Permit Date /IIJ-<ilfli,
.~c......,
Block
Electrical 0
Subdivision
Nature of Work
BUILDING Use
(Pt>- Ihv.-~," ,
General Cont.
Roof
Siding
Foundation
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
Width olLot
No. of Rooms
Sewer Fees
ì
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
i- -----1t.
1
I
------It.
Inspections -
Switches
Volts
Recep's
,;¡ (¡() )/........ Fees Paid -
:¡-1r-~ "','V .. I TO THE BUILDING I;~PECTOR: In accordance with Section 7-1 ~ of the Municipal Code of the City of Oshkosh, i!Ís agreed that if work
"--="T K(;::r;::., shall be discontinued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier. wall, orwire
-.. fence not less than five feet in height shall be erected all around such excavation. Such barrier. wall orwire fence will remain in position
until removal is approved by the 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.
Footing
Foundation
Electric Service
R.I.
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures -
Appliances
Changes
Temp.
Amps
Circ's
(Signed)
Signs
~
By /~uth"¡"dS¡gn"~,,f?';-' f..., 4-<..P/'""..-L Agent
Address 71)1 111'6~1Í~'5 .)/': ì=P,,<,1 <lot /.../'fc Ü".L'7',-¡q;Yj-
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