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{ PERMIT — APPLICATION AND RECORD CITY OF OSHKOSH ° 1 4 8 6
A /
Address 2 — r J v7 Owner / r-144=1..._, i / � v fir? L k1. No.
Rock Ward Subdivision (/)� Zoning Flood Plain
f Permit: Building Electrical ❑ Heating ❑ Plumbing ❑ Sign ❑ Wrecking ❑ Occupancy Permit / b Insp. )4/ Permit Date --
/ /
of Work k < - A.m • - ' _ — —.Er r 1 1 �t BUILDING Use / ti � - ( - � F f (_Y � S 143 V!
l ,rv�� c2/ Dui t GC.2C�1 'TE .1.. - _ci-a `� General Cont. / . tX !S
j (20. r.-1 C.(-= tcJJ-i-l� S ! Roof '-' 7-7 rJG Siding ; 't '71,-
Foundation n �x/ S 774 Type of Construction GJ'- O 2
FT, -,ta_
AGING CONTRACTOR �J/ S Size: % feet wide X feet long Square feet area . .-- s
an. Sewer Curb to Bu. Main to Curb: Height: Stories and Basement kV(-) (T '-'Get above Grade
t. Sewer Curb to Bu. Main to Curb /
Wtdfh of Lot No. of Rooms
Service 4: Mason
C,v
Sewer Fees
Tub_ __ Floor Drain Urinal Carpenter �Dr✓ ` �/� /f
Basin _ Garbage Disp. S. Sink Architect
Close _ Dish Washer Catch Basin
ink Laundry Mach. S. Pump
Heater Water Soft. B & S Waste ft rt» Inspections -
er Bath Bubbler Conductors Footing Foundation
>ing Fees Total Fees
,, r 3 Electric Service R.I.
'ING CONTRACTOR i - N s Sewer Water Service
Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑ Y o
tioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑ Finar
n High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑ Estimated Cos _5O Fees Paid 5. ° O 1 Date — — - — .'-44
ley: "A" ❑ "B" ❑ Direct Vent ❑ Con. Bumer ❑ Flue Damper & E.I. ❑ TO THE BUILDING INSPECTOR: In accordance with Section 7 -18 of the Municipal Code of the City 01 Oshkosh. it is agreed that 'two* shall be
fated Heat Loss System BTU Rating discontinued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, or wire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wall or wire fence will remain in position until removal is approved by the
Building Inspector.
TRIC CONTRACTOR �� X' c In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances.
c Service: New Changes Temp. codes, and rules goveming the described construction.
Iption -Type Volts Amps
15 Switches Recep's Circ's (Signed) Owner
nces Address Phone
By t ' ✓ C f _J - 4_,,4 Agent
(admdrd sera..) 9
cal Signs
Address • L ' L ., . f . ' — t" �/ Phone `7 ( 1 / J
; - )4 1 0 eit. .
IV
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