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0082632-Building (siding)
0 CITY OF OSHKOSH No 0082632 OSHKOSH BUILDING PERMIT APPLICATION AND RECORD ON THE WATER Job Address 1612 WILSON AVE Owner SEI D. KIDAU Create Date 11/02/2000 Designer Contractor OWNER Category 141 Exterior Remodeling Plan Type Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning Class of Const: Size Unfinished /Basement Sq. Ft. Rooms Height Ft. Projection Finished/Living Sq. Ft. Bedrooms Stories Canopies Garage Sq. Ft. Baths Signs Foundation Poured Concrete 0 Floating Slab 0 Pier 0 Other Concrete Block 0 Post 0 Treated Wood Occupancy Permit Not Required Flood Plain Height Permit Park Dedication Dwelling Units 0 Structures 0 Use/Nature SFR/Replace hail damaged aluminum siding with vinyl on house garage. Electric will be done by homeowner.* (NO STRUCTURAL of Work WORK) HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $1,300.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00 Issued By: v"--- Date 11/02/2000 Final /O.P. Permit Voided I In the performance is work 1 agree to perform all work pidrsuant to rules goveming the described construction. Signature Agent/Owner j Date 7 V, O Address if Oshkosh WI 54901 0000 Telephone Number Check all applicable boxes and fill out as much information as possible. Thank you. 1 Address of Property 1C o2 itev A kA-E v1 ae S IKos/A WT sc(Q© 2 The Property is owned by il 'o.v 3 I am the E3 OR I am the Contractor 4 The contractor doing the work is K( a a_u YVic s* Dv rY 5 This is a D- Single Family Residence, Rental, Commercial 6 Work being done: ROOFING Tear off and replace existing roofing on house, garage Replace wood decking Add 1 layer of roofing to the existing layer(s) on house, garage This work is being done due to Hail Damage Other SIDING G Thstall siding on 121 ouse, E garage Replacing vinyl with vinyl Replacing steel or aluminum with vinyl (circle steel or aluminum) Replacing with This work is being done due to EKHail Damage Other When siding is done, one of the boxes below must be checked: C�- electric Electric Meter, receptacle, lighting and Electric Service entrance alterations /modifications are being performed by W K- Electric Installation Verification form is attached (Name of Licensed Electric Contractor) Electric not applicable Install new or Replace gutters Install new or Replace downspouts Other work being done: (please note) Value of the job 3(50 (include fair market price for labor even if you are not paying for labor) City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Ol Oshkosh WI 54902-1130 H� Office 920 236 -5050 ON THE WATER Fax 920 236 -5084 Electric Installation Verification (I) (We) (Electrical Contractor Name) (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for (C (Sec ti (-'s (Name of party contracted to) at the following address: t (Address where work will be performed) The nature of the work consists of (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. j„ of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for other permanently wired appliances fixtures. Other The value of this work is I hereby verify this work will be performed by an employee of this company and further verify the reconnection installation will be done in compliance with manufacturer and Electric code requirements. 8 ignature of Company Officer (Print Name of Officer) t ate)