HomeMy WebLinkAbout0016251 B
CITY OF OSHKOSH
Owner ~/IVA-<-D HA}./ y¡erJ
Zoning £- - ;)-
Occupancy Permit Yo
~
OSHKOSH
Lot
PERMIT - APPLICATION AND RECORD
. rCt A
Address ~Z ø. I ð- rr~
Block
Electrical 0
Ward
Plumbing 0
N~
16251
Id. No.
Height Permit ./-/ ~IOOd Plain -#
Insp. .-I ð Permit Date ~ ~ I f-E;:.(
Sign 0
Subdivision
Wrecking 0 Fence 0
Pooi 0
Type of Permit:
Heating 0
PLUMBING CONTRACTOR
Bu. San. Sewer - C6rb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
Sewer Fees
Water Service
Bath Tub Fioor 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
HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 HW. 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 Can. Burner 0 Flue Damper & E.!. 0
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
Volts
Recep's
Amps
Circ's
Switches
Electrical Signs
,
Size:
_feet wide X
Height:
Stories and Basement
feet above Grade
Width of Lot
No. of Rooms
I
Mason
Carpenter
Architect
I It
,
-
---_ft.
I
I
R.!.
------1t-1
Inspections -
Footing
Foundation
~ I Electric. Service
"' Sewer
5
Estimated Cost'! 3:23'2.-
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipai Code of the City of Oshkosh. it is agreed that if work shall be
discontinued for a period of 30 days at anytime for anyeause 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 or wire 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.
(Signed)
Owner
Phone
By'
Agent
Phone ,;/3 /...¿ .2 z..-ý-