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ROOMING HOUSE LICENSE CERTIFICATE
A Rooming House License has been granted for a rooming house at
~'~EST IRVING AVENUE ,Oshkosh, Wisconsin as described
below, and in rooming house application number ~~
Owner: P,p . A.I~RESEN
~>3O ~II~LEBR00 .. R
nSNKn4N: WT•
Date of Issuance: AUGUST y, 1
Agent: SAME
ExpirationDate: AUGUST J, 1~
Maximum Total Occupancy: ~ Persons
Maximum Occupancy by floor: Frst Floor: F Persons
Second Floor: 6 Persons Third Floor: ~ Persons
Maximum Occupancy of each sleeping room by number:
1 22 2 3 24 2 5 2 6 27 X 8X 9 X 10X
NOTE: 1. The Rooming House License card must be displayed in a conspicuous
place within the communal areas of the building.
2. The Housing Inspector must be notified within forty-eight hours after any
transfer of legal control of any licensed rooming house.
3. This License may be revoked at any time violations of the Minimum
Housing Code are not corrected by a date specified on a notice listing the
violations.
4. The License must be renewed for continued use of the rooming house.
Application for renewal should be.made thirty days priorto expiration date.
Application forms for renewal of the license are available from the Housing
Inspector. The payment of a license fee of 525.00 per license must
accompany the application. No license will be renewed unless the
applicant owner agrees on his application to such inspection as the
Housing Inspector may require to determine whether the r oming house
is in compliance with the provisions of Minimum H sin Code.
5. Please keep this Certificate for your r or s.
HOUSING INSPECTOR
'~ ." ~
~~
":
NO.
CITY OF OSHKOSH
ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date Address of Proposed Rooming House
Owner Address ~~
Operator Address
Agent designated to receive notices
Add
Type of occupancy at present
Length of time in present occupancy
Number of sleeping. roo
Maximum number of occupants per sleeping room:
# 1 # 3 # 5 # 7 # 9 (FEE)
#2_ #4 #6 #8 # 10 Paid:
Bed Linen and towels furnished by
Responsibility for cleanliness of sleeping rooms
Heating plant is capable of maintaining the premises at 65° F. when the outside timperature is -15° F.
Water heating facilities are capable of heating water to a temperature of at least 120° 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) of the
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 48 hours after transferring or otherwise
disposing legal control of the above rooming house.
Signed:
~~
Owner Address
Agent Address
Licenselssued:
l_~t1ST ~, ~ ~~
Date
OFFICE USE ONLY
Date received
Zoning
Inspected by
Date
Number