HomeMy WebLinkAbout0094683-Building (bath 1st flr)
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OSHKOSH
ON THE WATER
Job Address 919 BISMARCK AVE
CITY OF OSHKOSH
No 0094683
BUILDING PERMIT - APPLICATION AND RECORD
Owner SHARON L WEBSTER
Create Date OS/29/2002
Designer
Contractor OWNER
Category
140 - Interior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
o Sq.Ft.
o Sq.Ft.
o Sq.Ft.
Rooms
o
Height
o Ft.
D Projection I
Unfinished/Basement
Finished/Living
Bedrooms
o
o
Stories
Canopies
o
Garage
Baths
Signs
o
Foundation 0 Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier . Other
o Treated Wood
Occupancy Permit
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature Rental/ Remodel 1st floor bath. No structural work to be done.
of Work
HV AC Contractor
Plumbing Contractor
HANSON QUALITY PLUMBING
Electric Contractor
Issued By:
~
$2,000.00 Plan Approval
$0.00 Permit Fee Paid
$25.00 Park Dedication
$0.00
Fees: Valuation
Date OS/29/2002
Final/O.P. 00/00/0000
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
Agent/Owner
Oshkosh
WI 54901 - 0000 Telephone Number
M a~2 0"-6'2 '-02~-a-3 p. .----Gs h ko sh Ins to e c t ion 5
920-236-5084
to. 1
.......... ~ ,I"
City of Oshkosh
In'Spection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)"23(i~5084
~
OMKOfH
"j"" . . BLllldiQ9 f'ermit ApplicClti~n ON T~l' WATeR
If vou ar.e a c()~tra~t~r participating iit' the 'Permit Fee Account Svstent 'hrtd lrave adequate funds, check here
if YOU wantYliiS 'proFessed th rough VDuraccourlt n .,.....,. .
JOB ADDRESS er I q - 11.11 @ ;11'111 AC~
OWNER cjljl1M)J L, bJJ5'&e:?/~
CONTRACTOR_,)IfJ) If} /vJ clJt7. (t-!H;V.t?o1t) P1--UfYl13/MC; ; F f/J av~
I am the:
-S:Owner
OR 0 Contractor
USE CATEGOR~
DSingle Family ~Duplex DMulti-Family DRental o Commercial OIndustrial
Work being done:
:l Addition
iJ Deck/Porclv'Patio
[j DiivewayfParking
[ Garage/Dility Structure
)SIntemal Remodeling
. .; '. ,"',i', :;, ,6,;~,'..'.t.60eJFiie~ia6e'
., J . .~. . .' ,.;,.,,' ~..:;
o External Remodeling
....pFfa1t~id~P-P#"i;
o Sign/Canopy/Awning
OSwimrning Pool
o Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
[] FencelHedgefKennel
. ........ [jHofTub/Spa
:~ ::-r L~_::><L":';';':'J:':"~': ',:',"
[] StairIHandmil
.> d' . .,....., :i; i.
~;.'> i., > _'.: ':>.' h';'
o Wrecking Permit
lccated in the hallway, may be referenced to note if any a ditional informa..tion is necessary.
YI IF. Y ()J It i-L )
.:. Fun description of work being done: ,'-::Ju. - 6: IfU 'f- C.e:;L-IJ)c;
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-E.hfJL2.A tt)Uffi WilH tV6lA.J UrJJyt..- TILE'. /Jt-.U,ltfI3.IAJ6t\6P1l1/y
{ ~l(() r ~6YJ
Anv work not included in this aDDlicsnon is not Dermitted.
Value of the job $ [ () Of) "-'~'1MtJ (Value for materials and labor is required to ensure cOl1Sist~ncy in acc~ssing pC'lilJit fees for a11
llpp Ii cants.) J
PLEASE READ. SIGN. & DATE: .
1 certtFy the above information is complete and accurate. Any deviat~ons from the above submitted
informazion may require additional permits to be obtained. 1 acknowledge and agree to these terms.
FI1J< .+
Date 5. 20
From .30\....1'\. %:
CU. C,:{ of osAk:ClSh
PhOlle #9zo 23G'. S"/
Fax #
Name: VI/-/)#?O/cJ UJE~T?5'~
.f V (Please print)
Signature: ~~ /{~~
Date ~ "'I; J?.-<50 :2-.'10,
Post.lt" Fax Note 7671
6:.,.
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