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o
OSHKOSH
ON THE WATER
Job Address 1219 MERRITT AVE
CITY OF OSHKOSH No
BUILDING PERMIT - APPLICATION AND RECORD
Owner LANE R EARNS Create Date
Designer
Contractor LAIB RESTORATION INC
Category
140 -Interior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. D Projection I
-
Bedrooms Stories Canopies
Baths Signs
Zoning
Unfinished/Basement
Sq.Ft.
Finished/Living
Sq.Ft.
Garage
Sq.Ft.
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 Remodeling the kitchen* to include new cabinets and countertops.
of Work
HV AC Contractor
Plumbing Contractor GARTMAN MECHANICAL SERVICES
Electric Contractor
Fees: Valuation $3,900.00 Plan Approval
Issued By: ~
$0.00 Permit Fee Paid
$46.00 Park Dedication
$0.00
Date 01/29/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1100840000
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 sec. ur.e.. 1~.Y ne.c7s.,sarylap~,~<1JVaIS before starting such activity.
".7 It " '1t";'2 b
Signature ltf:itJ r ,. /,., J ! /;I?A.~V.
l' l ~ 4 . ~ J,. ....
! Agent/Owner
Address 21 W NEW YORK AVE OSHKOSH
Date
/-l'}-t;
WI 54901 - 3757
Telephone Number
233-7026
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. 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.