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o
OSHKOSH
ON THE WATER
Job Address 661 JEFFERSON ST
CITY OF OSHKOSH No 120704
BUILDING PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH Create Date 06/23/2006
Designer
Contractor
STATEWIDE RAZING
Category
285 - Wrecking (Industrial & Commercial
Plan
Type
o Building
o Sign
o Canopy
o Fence
. Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Canopies
Finished/Living
Bedrooms
Stories 2
Garage
Sq.Ft.
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
Park Dedication
Use/Nature Raze and Remove Butcher Shop
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$11,000.00 Plan Approval
$0.00 Permit Fee Paid
$0.00 Park Dedication
$0.00
Issued By:
c:w
Date 07/24/2006
Final/D.P. 00/00/0000
D Permit Voided I
Parcelld # 0402280000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 2558 MILL RD
Agent/Owner
GREEN LEAF
WI 54126 - 0000 Telephone Number 920-766-7778
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.