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o
OSHKOSH
ON THE WATER
Job Address 412 W 19TH AVE
CITY OF OSHKOSH No 127583
BUILDING PERMIT - APPLICATION AND RECORD
Owner NAOMI L LUECK Create Date 10/31/2007
Contractor TOM WILLIAMS BUILDING CONTRACTOR
Designer
Category
140 -Interior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
D Projection I
Canopies
Finished/Living
Sq.Ft.
Bedrooms
Stories
Signs
Garage
Sq.Ft.
Baths
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFRI Remodel bathroom" to include new drywall around shower area. No structural work.
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
$1,000.00 Plan Approval
$0.00 Permit Fee Paid
$25.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
~
Date 10/31/2007
FinaIlO.P. 00/00/0000
D Permit Voided I
Parcelld # 1405550000
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 ~ecur. ,ny necessa ~ a1S~~. __._' uch activity.
Signature r-.. t=~ Date ~ \ () J 31 - 6'7
Agent/Owner
OSHKOSH
WI 54902 - 5933 Telephone Number 233-7817
Address 501 IOWA STREET
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.