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HomeMy WebLinkAboutBuilding (foundation only) CITY OF OSHKOSH No 1 PERMIT — APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING W— FLOOD PLAIN6»J* HEIGHT /v' ADDRESS /(2 Z8 i? uet --kk r[ ( 4 PLAN NO./( OWNER C 5- e n-a. f Q I DESIGNER /,�� � USE /NATURE OF WORK A % _fp "M a r Avedi'2 ) b1/L y BUILDING CONTRACTOR k© P Siz ) Sq. Ft. 4 r Rooms # Stories Height Foundation - PC9rc4 .o Class of Const. 12) Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR fie_ BT WH Disp WSoft CBasin Lav _ Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ 1 0 �ri /erfr •e P aid $ Park Dedication $ ISSUED BY ! ..:`_ _ `J1 1�/ Date F F Final /O.P. /0 'o� �q In the performance of this work I agree to /•e orm all work pursuant to rules governing the described construction. SIGNATURE A_ Acta 4,Vh,lit••_ 9/6 /8 g /t AGENT/WWII!" p DATE ' ADDRESS o2 (1 (, Q At. IC�A &- (A) 7' S I D / a3 i - 5 / o8 TELEPHONE # ONE & TWO- FAMILY DWELLING Permit No.• IC)Z PERMIT TO START CONSTRUCTION Date: FEE $ IN ADDITION TO PLAN EXAMINATION /INSPECTION FEES OWNER � �` STREET & NO. 6 INC4 -( dit•A. S e � CITY /TOWN STATE & ZIP TELEPHONE DWELLING LOCATION STREET 12 ��� -��� EET & NO. A CITY/TOWNi COUNTY e 1A-K0 C e L AGENCY (BUILDER, ARCH. OR ENGR.) STREET & NO. CITY STATE & ZIP I TELEPHONE I, the undersigned, request to begin footing and foundation work prior to the approval of the plans and issuance of the UNIFORM BUILDING PERMIT per Ind 20.09(5)(b)2. I have reviewed the specific code requirements of the Wisconsin Uniform Dwelling Code, Chapters Ind 20, Ind 21, Ind 22, Ind 23, Ind 24 and Ind 25, as applicable and have shown compliance on the drawings. i agree to make any change required after the plans have been reviewed and to remove or replace all noncode complying parts of the footing and /or foundations. I agree to proceed with the footing and foundations only and will not continue with the remainder of the dwelling until approval and a BUILDING PERMIT has been issued. I also understand that prior to the start of any construction, a zoning permit and a domestic septic permit has been obtained form the local authorities having jurisdiction in accordance with their laws and ordinances. NOTE: Complete building plans are needed for issuance `AGENT SIGNATURE of this permit. Footing and foundation plans submitted f prior to final plans will not be accepted for issuance of q/6 this permit. DATE UNIFORM BUILDING PERMIT APPLICATION NO.• ZONING PERMIT NO.: SEPTIC PERMIT NO.• AUTHORITY HAVING URISDICTIO■ : / OFFize / / TI • . / /4. n wi , ` r r ya/ FEES RECEIVED r• TE • NOT .UED BECAUSE: DILHR SBD -6072 (R.10/80) ISSUING JURISDICTION