HomeMy WebLinkAboutApplication #151
NO.
IS-/
CITY OF OSH KOSH
ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date
~-t~73
Address of Proposed Rooming House /3~ e I/I~H
Address / tJ 33 ///9.2. EL CJs/J.
Owner .J:;/ J3R/A//r"N-"J#
( (
, ,
Operator
Address
Agent designated to receive notices
S'/7HC
Address
Type of occupancy at present
Length of time in present occupancy
Number of sleeping rooms
Maximum number of occupants per sleeping room:
#1 -'-
#3
/
#5 3
#7
:L-
#9
(FEE)
#2__ #4
#6
#8
#10_
I
Paid :---0;--
Bed Linen and towels furnished by
~.;:,.,...
Responsibility for cleanliness of sleeping rOOms
Heating pllmt is capable of maintaining the premises at 650 F. when the outside timperature is -150 F. fJ;:J
l)#
t"Jater heating facilities are capable of heating water to a temperature of at least 1200 F.
TO THE HOUSING INSPECTOR: The undersigned hereby applies for a license to operate a rooming house as
described in this application. Operation will be in compliance with the minimum housing code and other ordinances
of the City of Oshkosh and building code of the State of Wisconsin. In accordance with S. 11.13 (11) (d) ofthe
Municipal Code of the City of Oshkosh, it is further agreed, that the City Clerk will be immediately notified
of any change of agent. In accordance with S. 11.13 (11) (e) of the Municipal Code of the City of Oshkosh, it is
further agreed that written notice will be given the Housing Inspector within 4S hours after transferring or otherwise
disposing legal control of the above rooming house.
s~ ~
I .///.2 ~C1~
Owner
,/~3~ /~// &4-
Address
Agent
Address
License Issued:
OFFICE USE ONLY
Date
Date received
Zoning
I nspected by
Date
Number