HomeMy WebLinkAbout0086409-Building (siding)
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OSHKOSH
ON THE WATER
Job Address 826 BISMARCK AVE
CITY OF OSHKOSH
No 0086409
BUILDING PERMIT - APPLICATION AND RECORD
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Owner KEVIN UELAINE SCHOUTEN
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. '. Create Dafe · '. 05/30/2001 . .
Designer
U nfi nis'hed/Basement Sq.Ft. Rooms Height Ft.
- -
Finished/Living Sq.Ft. Bedrooms Stories
-
Garage Sq. Ft. Baths
- -
Foundation . Poured Concrete 0 Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
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Canopies
Signs
Use/Nature SFRllnstalling vinyl siding on the house. The homeowner signed the EIV form attached.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$3,000.00 Plan Approval
$0.00 Permit Fee Paid
$30.00 Park Dedication
$0.00
Fees: Valuation
Issued By: W\
Date 05/30/2001
FinaIlO.P.
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signatur~ )CA~ Aj ~r- Date
- \ Agent/Owner
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Address 826 BISMARCK AVE
OSHKOSH
WI 54901 - 5812
Telephone Number
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ON THE WATER
City of Oshkosh
Division ofInspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
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(print homeowner( s) name)
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(address where work is to be performed)
the homeowner(s) of
accept the responsibility for performing the electrical work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
-L Reconnection ofthe Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $ Ie? 0
I hereby verify this work will be performed by me and further verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.
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Homeowner( s) Signature
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(Date)