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'o~ CITY OF OSHKOSH No 123473
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1355 HEIDI HAVEN CT Owner PATRICK J/MARY E BUSHA Create Date 02/09/2007
Designer
Contractor SCHUMANN CONSTRUCTION
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
Sq.Ft.
Sq. Ft.
Sq.Ft.
Unfinished/Basement
Finished/Living
Garage
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 SFR/ Frame in the walls in the basement' for future finishing. When the walls are finished a new permit will be required. No other other I
of Work ork is covered in this permit.
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Issued By:
Date 02/09/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1343820000
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 ap . tion within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure ecess ry ap Is re starting such activity.
Signature ~
Date
~?~
920-470-~{ .
Address 1077 STATE RD 26
Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number
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 specifi~d 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.
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