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OSHKOSH
ON THE WATER
Job Address 223 W 9TH AVE
CITY OF OSHKOSH No 124636
BUILDING PERMIT - APPLICATION AND RECORD
Owner PHONGrrONG Y LOR Create Date 05/04/2007
Designer
Contractor 21 LLGES EXCA V A TI NG
Category
161 - Wrecking Residential Dwellings Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
D Projection I
Finished/Living
Sq. Ft.
Bedrooms
Stories 2
Canopies
Garage
Sq. Ft.
Baths
Signs
Foundation 0 Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier . Other
o Treated Wood
Occupancy Permit Not Required
Flood Plain
Height Permit
# Dwelling Units
# Structures
Park Dedication
Use/Nature Raze and Remove 2 story house (fire damage.)
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuatio
$5,000.00 Plan Approval
$0.00 Permit Fee Paid
$53.00 Park Dedication
$0.00
Issued By:
Date 05/04/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 0900690000
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 s~cufe-any=n'ece~~r.y .aPiil"ov?ls before starting such activity.
Signature .~.~ ...~tl'j,.. . . Date
Agent/Owner
Address 1800 FOUNTAIN AVE
OSHKOSH
WI 54904 - 0000 Telephone Number 920-231-1994
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.