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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
32017
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ADDRESS
PLAN NO.
OWNER
DESIGNER
US~ OF WORK if{- ~A.I
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BUILDING CONTRACTOR {J~
Size ~ Sq. Ft.
Foundation ~~
# Rooms
6
# Stories
?
L
Height
Occupancy Permit ~ .
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_Lav
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WC
_FDr
_ L Tub
_Ur
_,San. Sewer
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
/
V
Permit Fee Paid $
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ISSUED BY
Date
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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7 AGENT/OWNER
1<1/ /g / ?d.-
, DATE .
ADDRESS
TELEPHONE #
January 27, 1994
Kelley Burnett
716 Mount Vernon
Oshkosh, WI 54901
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the new windows, new vinyl
siding, and basement stairway located at 716 Mount Vernon, Oshkosh,
WI 54901 as described in building permit application number(s)
32017.
This building is to be used only as a Single Family Residence and
is located in the R-2 Two Family Residenc~ District.
LIMITATIONS:
Maximum floor loading: 40 lbs. per sq. foot
Maximum persons and/or living units: One living unit
NOTE:
A new Certificate of Occupancy shall be required prior to
occupancy, should additional building(s) be erected, or should any
buildings mentioned above be altered or moved. The use of land, or
buildings, shall not be changed until a Certificate of Occupancy is
issued for that occupancy.
BUILDING INSPECTOR