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o
OSHKOSH
ON THE WATER
Job Address 2704 JACKSON ST
CITY OF OSHKOSH No 123985
BUILDING PERMIT - APPLICATION AND RECORD
Owner HIS CHURCH WORLD OUTREACH INC Cr ate Date 03/28/2007
Designer
Dale Nelson
Contractor CONSOLIDATED CONST
Category
208 - Alteration Churches & other Religious
PI n X8-1941-0307
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning Class of Const: 3B
Unfinished/Basement Sq.Ft. Rooms Height Ft. D Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
-
Garage Sq. Ft. Baths Signs
-
Foundation . Poured Concrete 0 Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not R quired
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use/Nature Church /Interior alterations as per plans to create accessible restrooms, and reconfigure office space as per pi n.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$0.00 Permit Fee Paid
$88.00 Park Dedication
$0.00
Issued By:
Date 03/29/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1519600100
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 ork
described in this permit application within an easement, the City strongly urges the permit applicant to contact the ease ent
holder(s) and to y necessary approvals befo e starting such activity.
Date
:3 (-;:<q ~~7
Signature
Address
OSHKOSH
WI 54901 - 1514
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per it Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is r ceived. Work may
continue if the inspection is not performed within two business days from the time the project is rea y.