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OSHKOSH
ON THE WATER
Job Address 856 W 18TH AVE
CITY OF OSHKOSH No 120768
BUILDING PERMIT - APPLICATION AND RECORD
Owner URBAN J BLANK Create Date 07/27/2006
Designer
Contractor
PACKER VALLEY BUILDERS, INC
Category
141 - Exterior Remodeling
Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Sq.Ft.
Bedrooms
Stories
Canopies
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
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFRI Repairing vehicle damage> to the front of the house including replacing several studs, a window, insulation, drywall siding/ stone
of Work ~en~er.
,
HVAC Contractor Plumbing Contractor
Electric Contractor BEEZ ELECTRIC INC
Fees: Valuation
$13,000.00 Plan Approval
~7J
$0.00 Permit Fee Paid
$106.00 Park Dedication
$0.00
Issued By:
Date 07/27/2006
Final/D.P. 00/00/0000
o Permit Voided I
Parcelld # 1410090101
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 ~~)llessary alWfovals befbre starting such activity.
Signature X ':~::/.A- y ~ Date X 1/2. 7/o(P
, /~' v t Agent/Owner
Address
2277 CLAIRVILLE ROAD
OSHKOSH
WI 54904 - 0000
Telephone Number
920-232-7620
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.