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BACKFILL
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DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
SAFETY & BUILDINGS DIVISION
P.O. BOX 7969
MADISON, WISCONSIN 53707
PERMISSION TO START CONSTRUCTION
FEE REQUIRED IN ADDITION . TO EXAMINATION/INSPECTION FEES
Location of Project:
Owner: U.S.. 41 l1ot.ell Inc.
E
Street: 500 S. 1<oeller
City: Oshkosh" WI
Plan File Number
Date Plans Rec'd
County: Winnebaoo
Occupanc~olid.av Inn. Chp. 55 .& 57
We, the undersigned, request to begin footing and foundation work prior to approval of the plans.
Complete plans have been submitted to the Department of Industry/Labor & Auman Relations, Safety and Buildings Division,
and all information requested by Code Ind. 50.12 has been included with the submittal.
. . I
We have reviewed the specific code requirements for the building or structure including, but not limited to, Ind. 54.01, Ind. 55.02,
Ind. 56.02, Ind. 57.01 (construction, height and allowable area), Ind. 50.12, Ind. 51.03, Ind. 53, Ind. 55.05 and Ind. 54.50, when
applicable, and have shown compliance on the drawings.
We agree to make any changes required after the plans have been reviewed and t6 remove or replace noncode complying parts of
the foundation and./or footings. I
We agree to proceed with the footings and foundation only and will not continue with the remainder of the building or structure
until approval has been received.
"") '-" n'.l f
(.'("{~
_ ': ,;4
- . Date
Address: '17::l7 1\1. MpT"l1j~T' St. F\lite 202
Dept. of Ind., Labor & Human Relations
Safety & Buildmgs Division
Name: s.
~. \ Indianapolis,
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Design~r's ignature
IHO. 46208
Not Accepted Because
If - t':;,64::
Date
Plans will be examined within the next
days.
Name: ~lames E. !..arscn
Oshkosh, WI 54901
NOTE: Complete building plans are needed for issuance
of this permission. Footing and foundation plans sub-
mitted prior to final building plans will not be accepted
foris~uanc~ ()f!pi& permission.
!
Address: 600 S. Main Street..
SB-198 (R. 12/81)
BLDG. INSPECTOR'S COpy